An acute uinary retention in an old man....doc

An acute urinary retention in an old man caused by a giant müllerian duct cyst: a case report Mehdi Jaidane,1?Adnen Hidoussi,1?Adel Slama,1?Wissem Hmida,1?Nabil Ben Sorba,1?and?Faouzi Mosbah1 Author information???Article notes???Copyright and License information?? Go to: Abstract Müllerian duct cysts result from an abnormality in regression of the Müllerian system. They may occasionally give rise to symptoms. We report an unusual case of acute urinary retention in an old man caused by a giant Müllerian duct cyst. A 77-year-old man presented with of acute urinary retention. After bladder drainage, digital rectal examination found a large soft supraprostatic mass. Transrectal ultrasound and computed tomography scans revealed a large multilocular retrovesical cystic mass. The patient underwent open surgical resection of the cyst. Histologically, the cystic lesion was lined with stratified cubocolumnar cells, consistent with a Müllerian duct cyst. Acute urinary retention in the elderly is not always related to prostatic diseases. Other causes, even congenital ones, may be involved Go to: Introduction Müllerian duct cysts result from an abnormality in regression of the Müllerian system [1]. This congenital anomaly is usually diagnosed in pediatric population [1,2] or in adults [3]. Acute urinary retention is not uncommon in the elderly and is mainly caused by prostatic diseases. We report here an unusual case of acute urinary retention in an old man caused by a giant Müllerian duct cyst. Go to: Case presentation A 77-year-old Tunisian man of North African origin was admitted to our hospital because of acute urinary retention. He has a 5-month history of urinary frequency and dysuria. Initial physical examination revealed a distended urinary bladder from which 600 ml of clear urine was obtained by catheterization. Digital rectal examination revealed an enlarged, nontender, non-nodular prostate and a large soft supraprostatic mass in the midline. Transrectal ultrasound sca