Unveiling the Uncommon: Acute Urinary Retention in Second Trimester Pregnancy due to Retroverted Uterus - A Self Case Report

Abstract

Acute urinary retention (AUR) during pregnancy is a rare yet significant complication, particularly when it occurs in the second trimester due to retroverted uterus. This case report sheds light on this unusual phenomenon, clinical implications, diagnostic approaches, and management strategies. A 27-year-old primigravida at 12 weeks' gestation experienced intermittent urinary retention. Foley catheterization relieved an acute episode, evacuating 1.2 liters of urine. Recurrent AUR required intermittent catheterization and probiotics. Gynecological examination and ultrasonography confirmed a retroverted uterus as the cause. Over four weeks, the patient improved, with the uterus repositioning anteriorly by the 16th week, leading to spontaneous resolution. This case highlights the rarity of second-trimester AUR due to retroverted uterus during pregnancy. The interplay of anatomical variations and physiological changes can result in unusual clinical presentations. Swift intervention, including Foley catheterization and patient positioning, achieved successful resolution. Elevated clinical awareness and personalized management are vital for unique pregnancy challenges.