Case Study: Chronic Lower Abdominal Pain With Urinary Retention and Dysuria

Alfred E. Bent, Ronald Tutrone, Janet Li
In: Journal of Pelvic Medicine and Surgery · 2003 · vol. 9(1) , pp. 41–43 · doi:10.1097/01.spv.0000056864.40319.c5 · W2064560183
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This case study reports a 49-year-old patient with urinary retention and severe lower abdominal pain, where scarring from previous endometriosis and surgeries likely caused a fibrotic, weakened area of the bladder.

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This case report describes a 49-year-old patient presenting to the emergency room with urinary retention and severe lower abdominal pain. The authors propose that the clinical presentation resulted from a fibrotic and weakened area of the bladder, likely caused by scarring from previous endometriosis surgeries. This specific anatomical complication illustrates how prior disease history can lead to acute urinary dysfunction in chronic pelvic pain cases. This paper is centrally about endometriosis — specifically describing a complication involving bladder scarring and urinary retention secondary to the condition.

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Abstract

In Brief A 49-year-old patient presents to a community emergency room with inability to void and severe lower abdominal pain. A combination of scarring from previous endometriosis and several surgeries may have resulted in a fibrotic, weakened area of the bladder.
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CASE STUDY Case Study: Chronic Lower Abdominal Pain With Urinary Retention and Dysuria - Alfred E. Bent - Ronald F. Tutrone - Janet Li Journal of Pelvic Medicine and Surgery 9(1):p 41-43, January-February 2003. | DOI: 10.1097/01.SPV.0000056864.40319.C5 A 49-year-old patient presents to a community emergency room with inability to void and severe lower abdominal pain. A combination of scarring from previous endometriosis and several surgeries may have resulted in a fibrotic, weakened area of the bladder. Copyright © 2003 Lippincott Williams & Wilkins, Inc.

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endometriosis

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