![]() ![]() The patient then underwent periurethral tumor biopsy and squamous cell carcinoma was identified. The organism was subsequently identified as blood clot formation (Figure 2).įurthermore, bladder echography and Magnetic Resonance Imaging (MRI) of pelvis revealed a mass with 5x3x4.5 cm in size around the bladder neck, favoring the clinical TNM stage of T4N0M0, which was suspected to be the main cause of chronic urinary retention. ![]() On physical examination, there were no specific findings except mild tenderness over lower abdominal region. Reviewing the patient’s history, she received left nephrectomy for renal abscess about 10 years ago and denied specific travelling or exposure history. ![]() The leukocyte count on blood test was within the referenced normal range without increased eosinophilic granulocytes (leukocyte: 5,860/uL, with 79.0% neutrophil, 15.4% lymphocyte, 5.3% monocyte and 0.3% eosinophil). Besides, no ova were found on the Merthiolate-Iodine-Formaldehyde (MIF) stain of urine. Pyuria was impressed with positive occult blood, nitrite, leukocytes, red cells and bacteria by the strip test and the microscopic exam on urine sediment. Meanwhile, a worm-like organism was also noticed in the urine drainage (Figure 1). She had no fever (body temperature: 36.4℃) and was catheterized with Foley catheter at our emergency and clear yellow urine was drained. ![]() A 86 year old women presented with urinary frequency, urgency and incontinence following retention for nearly 3 weeks. ![]()
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