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Acute urinary retention due to ectopic pregnancy
P R David1, A J Gianotti, G M Garmel
1Stanford/Kaiser Permanente Emergency Medicine Program, Stanford University, Palo Alto, CA, USA.
Ectopic pregnancy can cause acute urinary retention in women of childbearing age. Emergency physicians should consider this diagnosis in patients with abdominal, pelvic, or urinary symptoms.
Area of Science:
- Reproductive Medicine
- Emergency Medicine
- Urology
Background:
- Ectopic pregnancy is a critical condition requiring prompt diagnosis and management.
- Acute urinary retention (AUR) is a rare but serious complication that can occur in various clinical settings.
- The association between ectopic pregnancy and AUR is not widely recognized.
Observation:
- Two cases are presented where ectopic pregnancy presented with acute urinary retention.
- This clinical presentation can mimic other urological or gynecological emergencies.
Findings:
- Ectopic pregnancy should be included in the differential diagnosis for women of child-bearing age presenting with urinary retention.
- Pelvic and abdominal pain are common accompanying symptoms.
Implications:
- Early recognition and diagnosis of ectopic pregnancy are crucial for timely intervention.
- Considering ectopic pregnancy in women with urinary complaints can prevent diagnostic delays and improve patient outcomes.
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