A previously well, independent woman in her 90s presented to hospital with two days of worsening confusion, new onset urinary incontinence, and increased urinary frequency. Two days before that, she had been started on nitrofurantoin for urinary tract infection (UTI) by her GP. She had a history of hypertension, osteoporosis, mild dementia, chronic obstructive pulmonary disease, peripheral vascular disease, chronic renal failure, and several transient ischaemic attacks. Discomfort on palpation of the lower abdomen, no signs of peritonism, and a palpable large suprapubic mass attributed to urinary retention prompted urinary catheterisation, which produced only 100 mL of urine. She underwent a portable bedside bladder scan, which showed urinary retention with a post void residual urine (PVRU) volume of almost 1 L. Three further attempts were made at urinary catheterisation, with only small amounts of urine drained. Urgent imaging with a pelvic ultrasound showed an underfilled bladder with 67 mL of urine, compressed by a large septated pelvic cyst that extended to the level of the umbilicus. …

中文翻译：

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一个非高龄尿失禁的不寻常原因

一名 90 多岁以前身体健康、独立的女性因两天意识模糊、新发尿失禁和尿频增加而到医院就诊。两天前，她的全科医生开始服用呋喃妥因治疗尿路感染 (UTI)。她有高血压、骨质疏松症、轻度痴呆、慢性阻塞性肺病、外周血管疾病、慢性肾功能衰竭和几次短暂性脑缺血发作的病史。下腹部触诊不适，无腹膜炎征象，以及由于尿潴留而可触及的大的耻骨上肿块，提示导尿，仅产生 100 mL 尿液。她接受了便携式床边膀胱扫描，结果显示尿潴留，排尿后残余尿 (PVRU) 量接近 1 L。在导尿术中又进行了 3 次尝试，仅排出少量尿液。盆腔超声紧急成像显示膀胱未充盈，有 67 mL 尿液，被一个延伸至脐部水平的大型分隔盆腔囊肿压迫。…