To the Editor: Bladder emptying is maintained
by a feedback mechanism involving pelvic afferent nerves, the autonomic nerve
system, and a looped pathway through the rostral pons.1,2
Abnormalities of any of those components can interfere with complete bladder
emptying. We report the case of a patient with symptomatic abdominal distension,
which was found to be due to urinary retention with bilateral hydroureter.
We believe that this was induced by chronic alcoholism.
Abdominal computed tomography scan at the L2-L3 level shows marked
distension of the bladder and severe bilateral hydroureter.
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