Diabetic large ovarian cyst misdiagnosed as urinary retention in 1 case.docVIP

 PAGE \* MERGEFORMAT 5 Diabetic large ovarian cyst misdiagnosed as urinary retention in 1 case [Keywords:] diabetes, ovarian cysts urinary retention 1 Case information Patients, female, 38 years old. 1 year because of lower abdominal mass, abdominal distension is not a half at a local hospital for treatment. At examination: no abnormal heart and lung, kidney area percussion pain, abdominal distension, palpable as one of about 5 months pregnant size of the mass, B ultrasound showed a huge ovarian cyst, which means “large ovarian cyst” revenue hospitalized for elective surgery. hospitalized after fasting blood glucose 23.2mmol / L, postprandial blood glucose 29.3mmol / L, given 1 week of insulin therapy, blood glucose control is not satisfactory, then transferred to our hospital. in our hospital examination: Good general condition, abdominal distension, a palpable mass, cyst sexy, clear boundary, light tenderness, genital and lower extremity edema with moderate to depression. asked about the history patients with previous history of diabetes for 5 years. own animal insulin therapy, glycemic control not ideal, a sense of the past year gradually bulging belly, no urgency, dysuria, urinary frequency and discomfort, nearly half of the month from a sense of abdominal distension and discomfort, lower extremity edema , dysuria, urine output decreased. hospitalized underwent abdominal CT scanning tips: a large number of urinary retention, bilateral ovarian size is normal. admission diagnosis: diabetic urinary retention. that line catheterization, drainage of the urine 1000ml, see the lower abdomen bag block narrow, 24h urinary total export intermittent release of urine 8000ml, abdominal mass disappeared, genital and lower extremity edema. intermittent release of urine 2 days, stop the continuous measurement of residual urine after catheterization in 1500ml, Nursing and timed voiding and oral bile to be base to drugs, patients have insulin resistance into account