Case 27-1998

Abstract

Presentation of CaseA 10-year-old girl was admitted to the hospital because of urinary retention.The patient had been in excellent health until two days earlier, when she experienced suprapubic “pressure” on voiding, with urinary frequency. The next day, the discomfort was so severe that she was unable to void. Examination at this hospital showed distention of the bladder to the umbilicus. An indwelling catheter was inserted and 600 ml of urine drained. A urine specimen was positive (+) for protein and had a pH of 7.0 and a specific gravity of 1.021. The sediment contained 4 red cells and . . .