How Early Detection Error Can Lead to Severe Prognosis in Patient with Post-Partum Urinary Retention: A Case Report of Two Cases

Authors : Nada Nafisha Humaera; Muhammad Rizkinov Jumsa
article cite 0 Year 2021
source: Advances in health sciences research/Advances in Health Sciences Research
Abstract

Postpartum urinary retention (PUR) is a condition with a post-void residual volume of more than 150 mL. The incidence of PUR is not clear because of an undiagnosed asymptomatic condition. According to from literature incidence of PUR is about 0.05%-37%. Neglected PUR may result in anuria, hydronephrosis, and also kidney failure caused by renal obstruction. We report two cases of patients with RUP with the main complaint of difficulty for urinating, the first case was a patient with fifteen days post vaginal birth and came to the hospital after two weeks of the complaint. The patient was catheterized with redness urine. Kidney function examination was performed urea 173 mg/dL and cr 8.4 mg/dL before catheterized and cr 1.9 mg/dL urea 46 after catheterized. The second case was a patient with one month after vaginal birth and came to the hospital after three days of the complaint. The patient was catheterized with cloudy urine with laboratory findings urea 35mg/dL and cr 0.8 mg/dL. PUR may result in Acute Kidney Injury (AKI) due to extrarenal obstruction. In the first case, the ability to urinate is impaired with the complaint difficulty of urinating spontaneously in two weeks, this condition may lead to AKI. Undiagnosed clinical symptoms and neglected PUR can lead to a severe prognosis.


Concepts :
Hemodynamic Monitoring and Therapy
Cardiac, Anesthesia and Surgical Outcomes
article cite 0 Year 2021 source Advances in health sciences research/Advances in Health Sciences Research
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