Prolapsed Cecoureterocele an Unusual Cause of Female Acute Urinary Retention: Case Report and Review of the Literature

Abstract

Background: Urinary retention in females are rare. Ureterocoeles are uncommon causes of acute urinary retention in females. There are a wide variety and presentations of ureterocoeles with potentially diverse treatments. Open and endoscopic options have been described. We present a case of a 38-year-old female with acute urinary retention from a prolapsed ureterocoele associated with a stone. Objectives: To highlight caeco-ureterocoele as a rare cause of Acute Urinary Retention in females. A 38-year-old female presented with a history of severe lower urinary tract symptoms (LUTS) along with a urethral protrusion of a few weeks’ duration. Examination showed she was in retention with a tender irreducible and inflamed mass covered with mucosa protruding from the urethra. A urethral catheter was passed beside the mass to relieve the retention. A calculus was palpated in prolapsing mucosa consistent with a prolapsing caeco-ureterocoele. Under local anesthesia, the mucosa was incised and 1.5x1.5cm spherical calculus was extracted. Urine was observed flowing out of the ureterocoele. The patient improved significantly from her symptoms and a follow-up ultrasound scan did not show hydronephrosis. Conclusion: Prolapse caeco-ureterocoele with stone could cause acute urinary retention in females. A heightened index of suspicion is needed when a female presents with an associated urethral protrusion.