Zhuang Lin, Wang Xiao-Yin, Sang Yan, Xu Jiao, He Xue-Lian
Department of Obstetrics, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610000, Sichuan Province, China.
Department of Obstetrics, Sichuan Provincial Hospital for Women and Children, Chengdu 610000, Sichuan Province, China.
World J Clin Cases. 2021 May 6;9(13):3130-3139. doi: 10.12998/wjcc.v9.i13.3130.
Acute urinary retention (AUR) is rare during pregnancy.
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.
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.
急性尿潴留（AUR）在孕期较为罕见。
我们报告了3例妊娠10至18周发生急性尿潴留的孕妇。病例1最初被诊断为尿路感染，因尿道梗阻导致尿潴留而引发尿路感染。病例2既往有盆腔结核腹部手术史，导致严重粘连及子宫持续后倾。病例3中，医护人员关注患者的胃肠道症状，未对其排尿困难进行检查。病例1需要手法按压子宫及采取胸膝卧位。其他病例需要立即导尿。病例1和病例2病情缓解；这些患者妊娠过程正常。病例3在会诊时出现严重并发症，导致流产。
子宫后倾是急性尿潴留最常见的原因。需要及时识别和诊断。临床医生应了解妊娠早、中期急性尿潴留的危险因素、病因及临床表现。
