Soonchunhyang Med Sci.  2014 Jun;20(1):48-51.

Urinary Retention Accompanied by Retroperitoneal Urine Leakage in Schizophrenia

• Lee C

Abstract

We presented a case of a 46-year-old man who attended the emergency department with right flank pain. Abdominal computed tomography showed dilated renal pelvis, ureter and distended bladder. Fluid collection was seen in retroperitoneal space and pelvic cavity. He had renal insufficiency. When a urethral catheter was inserted, 1,200 mL urine was drained. He was diagnosed with schizophrenia more than 20 years prior, and had been taking anti-psychotics. He had been living in a sanatorium. He had nocturnal enuresis and had worn an incontinence pad nightly for the last 10 years. His fluid consumption was 10 L/day. After placement of an indwelling urethral catheter for relieving voiding problems and restriction of fluid intake, fluid collection in retroperitoneal spaces and pelvic cavity was removed and renal insufficiency was recovered. After training of self-clean intermittent catheterization, he was discharged.

Keyword

Urinary retention; Schizophrenia; Polydipsia; Polyuria

MeSH Terms

Catheterization
Catheters
Emergency Service, Hospital
Flank Pain
Humans
Incontinence Pads
Kidney Pelvis
Middle Aged
Nocturnal Enuresis
Polydipsia
Polyuria
Renal Insufficiency
Retroperitoneal Space
Schizophrenia*
Ureter
Urinary Bladder
Urinary Catheters
Urinary Retention*