Case Report
Copyright ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 26, 2018; 6(16): 1199-1201
Published online Dec 26, 2018. doi: 10.12998/wjcc.v6.i16.1199
Uncommon cause of voiding dysfunction in a female patient-vaginal abscess: A case report
Chia-Chi Yeh, Stephen Shei-Dei Yang, Su-Cheng Huang, Yi-Chun Wang
Chia-Chi Yeh, Department of Family Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taipei 23142, Taiwan
Stephen Shei-Dei Yang, Department of Urology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taipei 23142, Taiwan
Su-Cheng Huang, Department of Obstetrics and Gynecology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taipei 23142, Taiwan
Yi-Chun Wang, Department of Nephrology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taipei 23142, Taiwan
Yi-Chun Wang, School of Medicine, Tzu Chi University, Hualien 97004, Taiwan
Author contributions: Yeh CC was responsible for writing the manuscript; Yang SSD revised the manuscript; Huang SC and Wang YC treated the patient and helped to draft the manuscript; all authors have read and approved the final manuscript.
Informed consent statement: Consent was obtained from relatives of the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author to: Yi-Chun Wang, MD, PhD, Assistant Professor, Doctor, Division of Nephrology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, No. 289, Jianguo Rd., Sindian District, Taipei 23142, Taiwan. m92chung@gmail.com
Telephone: +886-2-66289779
Received: October 17, 2018
Peer-review started: October 18, 2018
First decision: November 8, 2018
Revised: November 12, 2018
Accepted: November 23, 2018
Article in press: November 24, 2018
Published online: December 26, 2018
Abstract
BACKGROUND

Vaginal abscess is a treatable disease and should be considered in female patients with voiding difficulties and perineal tenderness. There are no reported cases of vaginal abscess causing voiding dysfunction in the absence of a previous surgery. Early diagnosis and drainage of vaginal abscesses may lead to excellent outcomes.

CASE SUMMARY

We presented a case of vaginal abscess that caused voiding dysfunction without surgery history. A 64-year-old woman had a past history of type 2 diabetes mellitus. She came to our clinic following urinary difficulty with perineal tenderness. Bladder ultrasonography revealed a pelvic cystic lesion with a mass effect on the bladder. The presence of a vaginal abscess was suspected following pelvic examination and transvaginal ultrasound. After transvaginal drainage of the vaginal abscess and a full course of antibiotic treatment, she recovered well without any urination symptoms.

CONCLUSION

Voiding dysfunction caused by vaginal abscess is rare but should be considered in female patients with perineal tenderness.

Keywords: Vaginal abscess, Voiding dysfunction, Female, Case report

Core tip: Vaginal abscess is a treatable disease and should be considered in female patients with voiding difficulties and perineal tenderness. To our knowledge, this is the first reported case of vaginal abscess causing voiding dysfunction in the absence of a previous surgery.