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Case Report
Unusual cause of urinary retention in an infant
1 MBBS, FCPS, Fellowship in Pediatric Surgery, Ex-resident, Liaquat National Hospital and Medical College, National Stadium Road, Karachi 74800, Pakistan
2 MBBS, FRCS (GLAS), FRCS Ed, Fellowship in Pediatric Surgery, Liaquat National Hospital and Medical College, National Stadium Road, Karachi 74800, Pakistan
3 MBBS, Ex-student, Liaquat National Hospital and Medical College, National Stadium Road, Karachi 74800, Pakistan
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Taimur Iftikhar Qureshi
MBBS, FCPS, Fellowship in Pediatric Surgery, Ex-resident, Liaquat National Hospital and Medical College, National Stadium Road, Karachi 74800
Pakistan
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Article ID: 100025Z19TQ2024
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Qureshi TI, Arshad M, Rashid H. Unusual cause of urinary retention in an infant. J Case Rep Images Pediatr 2024;6(2):1–4.ABSTRACT
Introduction: Gastrointestinal tract duplication cysts constitute a rare group of malformation. Patients with presacral mass present with a diagnostic challenge due to the less obvious presentation.
Case Report: We report a 7-month-old boy, who presented with constipation and acute intermittent urinary retention. On per-rectal examination, a palpable mass was felt posteriorly with a narrow base, raising a query of pre-sacral/pelvic mass. Ultrasound pelvis revealed a well-defined, rounded oval-shaped cystic mass noted in the center of the lower pelvis, posteriorly. Computed tomography (CT) scan abdomen confirmed a cystic pelvis mass anterior to the rectum causing mass effect. Magnetic resonance imaging (MRI) of the pelvis was done to define its relationship to the sacral spine. A high-intensity lesion was seen on T2 imaging with no spinal involvement. Hence surgical exploration was done, and per operative diagnosis of rectal duplication was confirmed. Postoperatively child was discharged on the fourth post-operative day and doing well on follow-up.
Conclusion: We emphasize a complete examination, including per rectal examination in any child presenting with acute urinary retention to exclude pre-sacral masses.
Keywords: Gastrointestinal congenital duplicate cysts, Pediatric rectal duplication cyst, Pre-sacral mass
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Author Contributions
Taimur Iftikhar Qureshi - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Muhammad Arshad - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Hina Rashid - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2024 Taimur Iftikhar Qureshi et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
