Shih Shin-Lin, Liu Yu-Peng, Tsai Jeng-Daw, Tsai Yi-Shan, Yang Fei-Shih, Chen Yi-Fang
Department of Radiology, Mackay Memorial Hospital, Taipei, Taiwan.
J Pediatr Surg. 2008 Nov;43(11):e37-9. doi: 10.1016/j.jpedsurg.2008.07.015.
Acute urinary retention in children is rare. There are a variety of causes about the disease. We report a case of a 7-year-old girl with acute urinary retention and hematuria. Pelvic sonogram revealed an isoechoic mass in the urinary bladder that appeared as a lobulated filling defect over the bladder neck on intravenous urography and computed tomography studies. The surgical specimen from cystoscopic examination showed reactive changes on pathologic analysis. Cytomegalovirus was isolated from urine culture. The girl recovered after supportive treatment.
儿童急性尿潴留较为罕见。该疾病有多种病因。我们报告一例7岁女童，患有急性尿潴留和血尿。盆腔超声检查显示膀胱内有一个等回声团块，在静脉肾盂造影和计算机断层扫描研究中，该团块表现为膀胱颈部的分叶状充盈缺损。膀胱镜检查的手术标本经病理分析显示为反应性改变。从尿培养中分离出巨细胞病毒。该女童经支持治疗后康复。
