PDF(Pubmed)
Abstract：
Acute urinary retention is a known complication of inguinal hernia repair. However, the development of severe agitation and delirium as a result of acute urinary retention following inguinal hernia repair is less commonly reported. Here, we present the case of a 40-year-old male with no relevant medical history who underwent open mesh hernia repair for an uncomplicated left-sided indirect inguinal hernia. Postoperatively, the patient became hypertensive, delirious, and violent. He was found to have urinary retention on a bladder scan. Urgent intervention with catheterization and bladder decompression resulted in the prompt resolution of the patient\'s symptoms. The patient regained his senses and did not remember the events that led to it. This case highlights the importance of recognizing and managing acute urinary retention to prevent the development of severe agitation and delirium following spinal anesthesia. Further research and awareness are necessary to better understand the underlying neurovisceral mechanisms and optimize preventive strategies.
摘要：
急性尿潴留是腹股沟疝修补术的已知并发症。然而,腹股沟疝修补术后急性尿潴留导致的严重躁动和谵妄的发展报道较少。这里,我们介绍了一例40岁无相关病史的男性患者,他因无并发症的左侧腹股沟斜疝接受了开放式疝修补术.术后,病人变成了高血压，神志不清,和暴力。膀胱扫描发现他有尿潴留。紧急介入导管插入术和膀胱减压导致患者症状迅速缓解。病人恢复了理智，不记得导致它的事件。此病例强调了识别和管理急性尿潴留以防止脊髓麻醉后严重躁动和谵妄发展的重要性。需要进一步的研究和认识，以更好地了解潜在的神经内脏机制并优化预防策略。
