Sıddık Mehmet EVSEN, Selver ÖZEKİNCİ, Hatice GÜMÜŞ, Erdal Muhammet SAK, Ender Hatice SOYDİNÇ, Talip GÜL

Adenomyomatous polyp causing acute urinary retention in a postmenopausal woman

Postmenapozal dönemde akut üriner retansiyona neden olan adenomyomatoz polip (AP) olgusu sunulmuştur. 65 yaşında G8P8 bayan hasta kliniğimize vaginal kanama şikayeti ile başvurdu ve vajende kitle varlığı saptandı. Peroperatif hazırlık için hospitalize edilen hastanın idrar yapamama şikayeti olduğu öğrenildi. Serum üre ve kreatinin değerlerinin yüksek olduğu saptandı [66 mg/dL (normal aralık= 10-45) ve 2,49 mg/dL (normal aralık = 0. 6-1. 3) sırasıyla]. Acil abdominopelvik tomografide vajinal kitle ve distandü mesane izlendi. Kitle vajinal yoldan çıkartıldı ve abdominal histerektomi uygulandı. Patolojik incelemede malign olmayan ve yoğun nekroz alanları içeren AP olduğu saptandı. Kadın genital sistem patolojilerinin bazıları uriner retansiyona neden olabilirler. Tedavi seçimi hastanın fertilite beklentisine bağlıdır. Klin Deney Ar Derg 2011; 2 (3): 312-314.

Menapoz sonrası bir kadında akut idrar retansiyonuna neden olan adenomatöz polip

A case of adenomyomatous polyp (AP) causig acute urinary retention in postmenopausal period is presented. A 65-year-old, G8P8 women admitted to our clinic with the complaint of vaginal bleeding and vaginal mass was identified. During preoperative hospitalization she complained about not able to urinate. Serum urea and creatinine levels increased [66 mg/dL (range= 10-45) and 2,49 mg/dL (range= 0. 6-1.3) respectively]. Emergent abdominopelvic tomography showed vaginal mass and overdistended bladder. Mass was removed by vaginal route and abdominal hysterectomy was also performed. Pathologic examination revealed non-malignant AP with massive necrosis. A variety of female reproductive tract diseases can cause urinary obstruction. Treatment choice depends on reproductive expectance of the patient. J Clin Exp Invest 2011; 2 (3): 312-314.

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