Huang Chang-Feng, Ong Jiann-Ruey, Hung Shih-Wen, Chen Chien-Chih, Wang Tzong-Luen, Chong Chee-Fah
Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei City 111, Taiwan.
Am J Emerg Med. 2008 Sep;26(7):842.e3-4. doi: 10.1016/j.ajem.2008.01.043.
Abdominal abscess resulting from a perforated diverticulitis has never been reported as a cause of acute urinary retention. Our patient is the first case to be reported. Because of the atypical presentation, he was initially misdiagnosed and treated as having acute prostatitis. Emergency physicians should have a high index of suspicion. Detailed history, abdominal sonography, and digital examination are helpful in diagnosing this disease.
因憩室炎穿孔导致的腹部脓肿从未被报道过是急性尿潴留的病因。我们的患者是首例被报道的病例。由于表现不典型，他最初被误诊为急性前列腺炎并接受了相应治疗。急诊医生应保持高度怀疑。详细的病史、腹部超声检查和直肠指检有助于诊断此病。
