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Acute abdomen masquerading as acute retention

P Clark

    International Urology and Nephrology
    |January 1, 1982
    PubMed
    Summary

    Urologists must identify acute abdominal emergencies misdiagnosed as urinary retention. Prompt investigation of the acute abdomen is crucial when catheterization fails to relieve symptoms.

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    Area of Science:

    • Urology
    • Emergency Medicine
    • Abdominal Surgery

    Background:

    • Acute urinary retention is a common urological emergency.
    • Patients presenting with urinary symptoms may have underlying intra-abdominal conditions.
    • Misdiagnosis can lead to delayed treatment of critical surgical conditions.

    Observation:

    • Patients admitted for acute retention may present with symptoms of an acute abdomen.
    • Inability to pass urine can be a primary symptom of intra-abdominal catastrophes.
    • Catheterization may yield minimal urine and fail to alleviate patient discomfort.

    Findings:

    • A significant number of patients with acute abdominal emergencies are misdiagnosed with acute urinary retention.
    • Urine suppression or inability to void can be the sole presenting symptom of severe intra-abdominal pathology.
    • Failure of catheterization to relieve symptoms warrants consideration of an acute abdomen.

    Implications:

    • Urologists must maintain a high index of suspicion for acute abdominal emergencies in patients presenting with urinary retention.
    • Early recognition and investigation of acute abdominal conditions are vital for appropriate patient management.
    • Timely diagnosis and treatment of intra-abdominal catastrophes can prevent severe morbidity and mortality.

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