Acute Urinary Retention in the First and Second-trimester of Pregnancy: Three Case Reports

Overview

Journal World J Clin Cases

Publisher Baishideng Publishing Group

Specialty General Medicine

Date 2021 May 10

PMID 33969100

Citations 2

Authors

Lin Zhuang

Xiao-Yin Wang

Yan Sang

Jiao Xu

Xue-Lian He

Affiliations

Soon will be listed here.

Abstract

Background: Acute urinary retention (AUR) is rare during pregnancy.

Case Summary: We report on three pregnant women with AUR between the 10 and 18 wk of gestation. Case 1 was first diagnosed as urinary tract infection and developed a urinary tract infection due to urinary retention caused by urethral obstruction. Case 2 had a history of previous abdominal surgery for pelvic tuberculosis, leading to severe adhesions and a persistent retroverted uterus. In case 3, healthcare providers focused on the patient's gastrointestinal symptoms and did not investigate her inability to void. Case 1 required manual disimpaction of the uterus and the knee-chest position. The other cases required immediate catheterization. The condition resolved in cases 1 and 2; these patients had normal pregnancies. Case 3 had severe complications at the time of consultation, leading to an abortion.

Conclusion: Retroverted uterus is the most common cause of AUR. Prompt recognition and diagnosis are required. Clinicians should be aware of the risk factors, etiology, and clinical presentation of AUR in the first and second trimester of pregnancy.

Citing Articles

Adenomyosis-Induced Urinary Retention: Case Analysis and Clinical Implications.

Xu F, Zhong W, Ye S, Zhong R, Jiang Y, Lu Z Am J Case Rep. 2025; 26:e946476.

PMID: 39838607 PMC: 11760045. DOI: 10.12659/AJCR.946476.

Urinary tract obstruction in the second trimester: a report of an incarcerated gravid uterus.

Morais M, Moura M, Correia A, Fan Y BMJ Case Rep. 2022; 15(9).

PMID: 36175041 PMC: 9528483. DOI: 10.1136/bcr-2022-249986.

Acute Urinary Retention in the First-trimester of Pregnancy: A Case Report.

Dai C, Peng J, Chen R Cureus. 2022; 14(3):e23057.

PMID: 35419239 PMC: 8994868. DOI: 10.7759/cureus.23057.

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