Acute urinary retention caused by a large impacted leiomyoma

• Published in: Archives of gynecology and obstetrics 2009-12, Vol.280 (6), p.1045-1047
• Main Authors: Derbent, Aysel, Turhan, Nilgün Öztürk
• Format: Article
• Language: English
• Subjects: Adult; Case Report; Endocrinology; Female; Fibroids; Gynecology; Human Genetics; Humans; Laparotomy; Leiomyoma - complications; Leiomyoma - pathology; Leiomyoma - surgery; Medicine; Medicine & Public Health; Obstetrics/Perinatology/Midwifery; Prostate; Ultrasonic imaging; Urinary Retention - etiology; Urinary Retention - surgery; Uterine Neoplasms - complications; Uterine Neoplasms - pathology; Uterine Neoplasms - surgery
• ISSN: 0932-0067; 1432-0711
• DOI: 10.1007/s00404-009-1058-4

Objective Both acute urinary retention (UR) and impacted pelvic mass are rare events in women. We report a case of complete UR caused by impaction of a large myomatous uterus. Case A 36-year-old virgin woman presented to the outpatient clinic of our department for further investigation of her pelvic mass. Abdominal sonography showed a solid, hypoechoic, 11 × 9 cm mass filling the pelvic cavity. After sonography, the patient was unable to void second time in that week and a Foley catheter had to be re-inserted. Laparotomy revealed a large myoma filling the entire pelvic cavity. The uterus–mass complex was impacted in the pelvis, leiomyoma had been compressing the uterus into the base of the pelvis. Myomectomy was performed. Conclusion It seems that complete UR associated with pelvic mass is usually a sign of pelvic impaction of the mass.