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Case Reports
. 2021 Jan 3;13(1):e12461.
doi: 10.7759/cureus.12461.

Occult Perirectal Abscess Causing Acute Urinary Retention

Steve W Updike  1 , Zachary Sletten  1
Affiliations
Case Reports

Occult Perirectal Abscess Causing Acute Urinary Retention

Steve W Updike et al. Cureus. .

Abstract

Acute urinary retention (AUR) is a common symptom evaluated in the emergency department. It is generally due to an obstructive process such as benign prostatic hyperplasia (BPH) and can be treated simply with an indwelling foley catheter and urological follow up. Perirectal abscess is a relatively rare cause of urinary retention with no documented prevalence but when present is almost universally accompanied by perirectal pain. We present a 53-year-old male with a four-day history of urinary retention without perirectal pain or additional symptoms, who was found to have a perirectal abscess on digital rectal exam (DRE) and confirmed on computed tomography (CT) imaging.

Keywords: aur; perirectal abscess; urinary retention.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Sagittal Slice CT Pelvis with IV Contrast
Ring enhancing lesion posterior to rectum (red arrow). And anterior is foley catheter (blue arrow).
Figure 2
Figure 2. Transverse Slice of CT Pelvis with IV Contrast
Ring enhancing lesion posterior to rectum (red arrow) and foley catheter (blue arrow).
See this image and copyright information in PMC

References

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