Acute Urinary Retention: Should We Call it a Manifestation of Appendicitis? | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2021]

Author(s):

1. Sadaf Sheikh: Department of Emergency Medicine, Sultan Qaboos University Hospital, Muscat, Oman

2. Umair Javed: Department of Emergency Medicine, The Aga Khan University Hospital, Karachi, Pakistan

3. Muhammad Akbar Baig: Department of Emergency Medicine, The Aga Khan University Hospital, Karachi, Pakistan

Abstract:

Acute urinary retention (AUR) is a fairly common presentation in the elderly; but interesting to be noted in a healthy young individual as a manifestation of acute appendicitis. We present a case of a 32-year gentleman with decreased urine output with mild tenderness at the supra-pubic region; which was later on, shifted to the right iliac fossa. Computed tomography of the abdomen showed acute appendicitis. Emergency physicians are challenged to recognize the uncommon presentation of acute appendicitis and need to be reminded of this common complaint as a rare presentation of it. This case also stresses on the repeated abdominal examinations to seek diagnostic clarity.

Page(s): 846-848

DOI: 10.29271/jcpsp.2021.07.846

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 31, Issue: 07, Year: 2021

Keywords:

Appendicitis , Acute urinary retention , Repeat abdominal examination

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