PDF(Pubmed)
Abstract：
Acute urinary retention is uncommon in pediatric age and is usually associated with infection or obstruction of the urinary tract. We present the case of a 12-year-old girl admitted to the emergency room with acute urinary retention and lower urinary tract symptoms. Physical examination revealed abdominal distension and a blue-bulging mass occupying the vaginal introitus. Ultrasound confirmed the diagnosis of hematocolpos and revealed hydronephrosis, caused by compression. Kidney function and urinalysis were normal. A hymen incision and excision of redundant tissue were performed without complications. Hematocolpos is a condition caused by obstructive uterovaginal deformity. Imperforate hymen is responsible for most of the cases and usually manifests as primary amenorrhea and cyclic lower abdominal pain. The diagnosis of hematocolpos can be challenging. However, it is important to consider it in female adolescents without menarche presenting with acute urinary retention.
摘要：
急性尿潴留在儿科年龄段并不常见，通常与尿路感染或阻塞有关。我们介绍了一名12岁女孩因急性尿潴留和下尿路症状而被送往急诊室的情况。体格检查显示腹胀和蓝色隆起的肿块占据了阴道口。超声证实诊断为血肿，并显示肾积水，由压缩引起的。肾功能和尿液分析正常。处女膜切开并切除多余组织，无并发症。Hematocolpos是由阻塞性子宫阴道畸形引起的疾病。处女膜穿孔是大多数病例的原因，通常表现为原发性闭经和周期性下腹痛。血球病的诊断可能具有挑战性。然而,重要的是要考虑它在女性青少年没有初潮表现为急性尿潴留。
