Abstract
Acute urinary retention due to a large isthmic leiomyoma – a case report and literature review
Highlights
Uterine fibroids represent a common finding in women at fertile age, being usually diagnosed due to the presence of metrorhagia, diffuse pelvic pain, urinary incontinence or dysuria in cases presenting urinary bladder compression [1]
The abdominal ultrasound revealed the presence of indirect signs of acute urinary retention – bilateral uretero-hydronephrosis and a large tumoral mass developed at the level of the uterine isthmus compressing the urinary bladder and the urethra
The patient was submitted to surgery, a total hysterectomy with bilateral adnexectomy being performed
Summary
ResultsUterine fibroids represent a common finding in women at fertile age, being usually diagnosed due to the presence of metrorhagia, diffuse pelvic pain, urinary incontinence or dysuria in cases presenting urinary bladder compression [1]. Acute urinary retention with secondary uretero-hydronephrosis due to uterine fibroids is a rare situation, few cases being reported so far [1,2,3,4]
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