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CASE REPORT
Transabdominal ultrasound-guided Gartner’s abscess drainage, a rare cause of acute urinary retention in second trimester of pregnancy
  1. Manju Lata Verma,
  2. Vartika Tripathi,
  3. Uma Singh,
  4. Pushpa Lata Sankhwar
  1. Department of Obstetrics and Gynaecology, King George’s Medical University, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Manju Lata Verma, gaganmlv{at}gmail.com

Summary

Acute retention of urine in pregnancy is an emergency, since it can lead to loss of pregnancy besides other dire complications. Gartner’s abscess is an extremely rare cause for this condition. We present a case of a 23-year-old primigravida woman who presented to us at 24 weeks of pregnancy with acute retention of urine. After clinical and radiological evaluation, a large Gartner’s abscess was found to be the cause. Per vaginal drainage of the abscess was not attempted because insertion of transvaginal probe was extremely painful for the patient, and the abscess was located high up in the anterior fornix. Transabdominal approach under sonographic guidance was used for the drainage of the abscess. Careful aspiration of the abscess, avoiding injury to the placenta, fetus and maternal bladder, revealed 60 cc of frank pus. The patient was given injection hydroxyprogesterone caproate and antibiotics in the preprocedure period. Antibiotics were continued in the postprocedure period, and she was discharged at 26 weeks of pregnancy in satisfactory condition.

  • pregnancy
  • catheterisation / catheter care
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Footnotes

  • Contributors MLV and VT were involved in preparing and finalising the manuscript. US revised the manuscript. PLS helped in data collection.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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