scholarly journals Hematocolpos mimicking acute urinary retention in Emergency Department

2013 ◽  
Vol 12 (1) ◽  
pp. 81-82
Author(s):  
Sazwab Reezak Shamsuddin ◽  
Mohd Syafwan bin Adnan ◽  
Mohd Hashairi Fauzi

Lower abdominal pain with lower urinary tracts symptoms in young girls presented to Emergency Department (ED) is urinary tract infection (UTI) until proven otherwise. We reported a case of classic UTI presentation with unusual finding of hematocolpos. We believed the unusual circumstance of this case is likely to be repeated in some other clinical practice and such differential diagnoses should be considered. DOI: http://dx.doi.org/10.3329/bjms.v12i1.13357 Bangladesh Journal of Medical Science Vol. 12 No. 01 January’13 pp.81-82

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Michael Silberman ◽  
Rebecca Jeanmonod

Bladder diverticulum, an outpouching of the mucosa through the muscular wall of the bladder, is a multifactorial disease process that can be either acquired or congenital. Although small diverticuli are usually asymptomatic, a large diverticulum may result in hematuria, urinary tract infection, acute abdomen due to its rupture, acute urinary retention, or neoplasm formation. We describe the case of an elderly gentleman who presented to the emergency department with abdominal pain and was ultimately diagnosed with bladder diverticulitis, a disease not previously described in the literature.


Author(s):  
Leela Paudel ◽  
Naresh Manandhar ◽  
Saroj Sah ◽  
Sudesha Khadka ◽  
Samikshya Neupane ◽  
...  

Background: Urinary tract infection (UTI) occurs in all age groups, more common in women due to short urethra and its close proximity to anus and vagina. UTI is defined as “microscopic finding of >10 pus cells/high power field (40x) in urine”. The purpose of the study is to find the prevalence of UTI and its association with various risk factors.Methods: An analytical cross-sectional study on prevalence of UTI was done among 260 women aged 15 years and above. Convenient sampling technique was used. Semi-structured questionnaire was designed to collect the data and urine sample was collected for routine and microscopic examination at the time of interview. Collected urine was sent, within 3 hours of collection.Results: The mean age of the respondents was 36.43±16.17 years. The prevalence of UTI among women aged 15 years and above was 36.9%.The most common symptom was frequency of micturition (35%) followed by lower abdominal pain (38.46%). There was significant association between frequency of micturition, burning micturition and lower abdominal pain with occurrence of urinary tract infection. On urinalysis, 96 samples were positive for pus cell; one sample showed blood, 16 samples showed ca-oxalate and 57 samples showed protein which determines the type of UTI. Smoking [COR-2.15, C.I-(1.12, 4.09)] and unavailability of toilet facility [COR-0.27, C.I-(0.08, 0.93)] were the significant risk factors for occurrence of UTI.Conclusions: There was high prevalence of UTI among women aged 15 years and above and association between smoking and unavailability of toilet facility and UTI was significant.


2017 ◽  
Vol 45 (3) ◽  
pp. 134-137 ◽  
Author(s):  
Jannatul Ferdaus ◽  
Golam Moinuddin ◽  
Mohammad Tariqul Islam ◽  
Md Harun Or Rashid ◽  
Mahjabin Rahman Shawly ◽  
...  

Urinary Tract Infection (UTI) is the leading cause of death in children below five years of age in Bangladesh. Identification of modifiable risk factors of UTI may reduce the chances of the disease. This hospital based case-control study was conducted from January 2008 to December 2008 in Bangabandhu Sheikh Mujib Medical University, Dhaka to determine risk factors associated with UTI in preschool children. A group of 201 children with UTI on the basis of urgency and frequency in micturition & lower abdominal pain with or without fever were considered as case subjects under this study. Analysis was conducted comparing data from case group against a control group of 311 healthy children who were reported to have no fever and abdominal pain. Wiping (from back to front), circumcision status, nappy use, obstructive uropathy, neurogenic bladder, poor personal hygiene and constipation were found to be potential factors for UTI under logistic regression. Among them, nappy use was the main contributing factor and circumcision status and constipation were the second and third largest contributing factors for UTI. Age and sex had no statistically significant association.Bangladesh Med J. 2016 Sep; 45 (3): 134-137


2017 ◽  
Vol 5 (2) ◽  
pp. 50
Author(s):  
Chandra Bala Sekharan ◽  
Devarajan Dinesh Kumar ◽  
Koneru Ratna Kumari ◽  
Cecilia Alphonce Joachim

2011 ◽  
Vol 52 (2) ◽  
pp. 117-120 ◽  
Author(s):  
Chung-Ching Lu ◽  
You-Lin Tain ◽  
Kwok-Wan Yeung ◽  
Mao-Meng Tiao

2012 ◽  
Vol 11 (2) ◽  
pp. 137-138
Author(s):  
Gouri Shankar Kejriwal ◽  
RV Dharma ◽  
CH Madhavi ◽  
SN Sahu

Urinary calculi are rarely seen in the urethra and are usually encountered in men with urethral stricture or diverticulum. The case of a 23-year-old woman presented with acute retention of urine associated with recurrent urinary tract infection.  Cystoscopy was done and the stone was removed. The patient has been well, with no dysuria, and in­continence for 3-month follow-ups.DOI: http://dx.doi.org/10.3329/bjms.v11i2.8724 Bangladesh Journal of Medical Science Vol. 11 No. 02 April 2012: 137-138 


Author(s):  
Chia-Hung Huang ◽  
Ying-Hsiang Chou ◽  
Han-Wei Yeh ◽  
Jing-Yang Huang ◽  
Shun-Fa Yang ◽  
...  

To investigate the association among lower urinary tract infection (UTI), the type and timing of antibiotic usage, and the subsequent risk of developing cancers, especially genitourinary cancers (GUC), in Taiwan. This retrospective population-based cohort study was conducted using 2009–2013 data from the Longitudinal Health Insurance Database. This study enrolled patients who were diagnosed with a UTI between 2010 and 2012. A 1:2 propensity score-matched control population without UTI served as the control group. Multivariate analysis with a multiple Cox regression model was applied to analyze the data. A total of 38,084 patients with UTI were included in the study group, and 76,168 participants without UTI were included in the control group. The result showed a higher hazard ratio of any cancer in both sexes with UTI (for males, adjusted hazard ratio (aHR) = 1.32; 95% confidence interval (CI) = 1.12–1.54; for females, aHR = 1.21; 95% CI = 1.08–1.35). Patients with UTI had a higher probability of developing new GUC than those without UTI. Moreover, the genital organs, kidney, and urinary bladder of men were significantly more affected than those of women with prior UTI. Furthermore, antibiotic treatment for more than 7 days associated the incidence of bladder cancer in men (7–13 days, aHR = 1.23, 95% CI = 0.50–3.02; >14 days, aHR = 2.73, CI = 1.32–5.64). In conclusion, UTI is significantly related to GUC and may serve as an early sign of GUC, especially in the male genital organs, prostate, kidney, and urinary bladder. During UTI treatment, physicians should cautiously prescribe antibiotics to patients.


2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Matthew F. Ryan ◽  
Bobby K. Desai

Ovarian torsion represents a true surgical emergency. Prompt diagnosis is essential to ovarian salvage, and high clinical suspicion is important in this regard. Confounding the diagnosis in general are more commonly encountered abdominal complaints in the Emergency Department (ED) such as constipation, diarrhea, and urinary tract infections and more common surgical emergencies such as appendicitis. Prompt diagnosis can be further complicated in low-risk populations such as young children. Herein, we describe the case of a 5-year-old girl with a seemingly benign presentation of abdominal pain who was diagnosed in the ED and treated for acute ovarian torsion after two prior clinic visits. A brief discussion of evaluation, treatment, and management of ovarian torsion follows.


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