Paediatric Department, William Harvey Hospital, Ashford, UK
Paediatric Department, William Harvey Hospital, Ashford, UK.
BMJ Case Rep. 2021 Feb 9;14(2):e240378. doi: 10.1136/bcr-2020-240378.
We present an adolescent girl with a 1-day history of acute urinary retention and lower abdominal pain. She was admitted to the paediatric ward for ongoing treatment and investigations. Due to a myriad of factors including pain and anxiety, challenges posed included an incomplete initial abdominal and external genital examination. This case report highlights the importance of a focused history and performing an appropriate sensitive examination at the time of presentation. Furthermore, we explore the common causes of new onset urinary retention and unravel the case as it unfolds. We also highlight differential diagnoses (however, uncommon), which must be considered and not overlooked to avoid unnecessary investigations and to ensure timely management.
我们报告了一例 1 天急性尿潴留和下腹痛的青少年女孩病例。她因持续治疗和检查而被收入儿科病房。由于疼痛和焦虑等诸多因素，初始腹部和外生殖器检查不完整。本病例报告强调了在就诊时进行重点病史询问和进行适当敏感检查的重要性。此外，我们探讨了新发尿潴留的常见原因，并随着病例的发展逐步解析。我们还强调了必须考虑但不忽视的鉴别诊断（尽管不常见），以避免不必要的检查并确保及时治疗。
