Parrish G A, Wright G D, Falk J L
Department of Emergency Medicine, Orlando Regional Medical Center, Florida.
Ann Emerg Med. 1993 May;22(5):857-60. doi: 10.1016/s0196-0644(05)80807-8.
Emergency physicians frequently encounter patients with acute urinary retention. Although most common among the elderly, pediatric and young adult patients occasionally may present with this complaint. The differential diagnosis and emergency department work-up must be age specific. We discuss the case of a young man who presented with acute urinary retention, subsequently found to be caused by undiagnosed appendicitis with appendiceal abscess formation. Only nine such cases have been reported in the literature thus far, with only one occurring in the nonpediatric population. This case represents the second such case to be reported. The importance of a thorough history, physical examination, and diagnostic work-up of patients who present with acute urinary retention, particularly those in the younger age group, is emphasized.
急诊医生经常会遇到急性尿潴留患者。虽然这在老年人中最为常见，但儿科和年轻成年患者偶尔也可能出现这种症状。鉴别诊断和急诊科检查必须根据年龄进行。我们讨论一例年轻男性患者，他因急性尿潴留就诊，随后发现是由未诊断出的阑尾炎并伴有阑尾脓肿形成所致。迄今为止，文献中仅报道过9例此类病例，其中只有1例发生在非儿科人群中。本病例是报道的第二例此类病例。强调了对急性尿潴留患者，尤其是年轻年龄组患者进行全面病史询问、体格检查和诊断检查的重要性。
