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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 12, Issue 1, September 2014 pp 182-183
Case Report
Acute urinary retention secondary to a cervical leiomyoma: a case report
Pruthwiraj Sethi1, Sujata Devi2, Achanta Vivekanand3, Samir Bele4
{1Assistant Professor, 3Professor, Department of Obstetrics and Gynecology}, {2Assistant Professor, Department of Internal Medicine}, {4Professor, Department of Community Medicine}, Prathima Institute of Medical Sciences, Karimnagar, Telangana, INDIA.
Abstract
Background: The incidence of both acute urinary retention and cervical leiomyoma is extremely rare in women of reproductive age group. Case: We report a case of 40 year old multiparous woman with the complaints of acute retention of urine and bleeding per vaginum. The retention of urine was relieved by administering the Foley`s catheter. On per speculum examination a fleshy, globular mass protruding from the vagina was seen. On bi-manual examination uterus was enlarged, but cervix could not be felt except a rim of the cervix because the whole of the cervix was occupied with the mass. Ultrasonography findings revealed that cervical fibroid of size 10x10x8cm with normal sized uterus and adenexa. Total abdominal hysterectomy was done. On gross pathology uterus was normal in size, whereas cervical leiomyoma of size 12x10x8cm was arising from the posterior aspect of the cervix. The post operative period was uneventful and there was no urinary retention after operation. Conclusion: Cervical leiomyomas may cause acute retention of urine among reproductive age women without other etiologies. The urinary symptoms completely resolved after total abdominal hysterectomy.
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