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Letters |

Chronic Abdominal Distension Secondary to Urinary Retention in a Patient With Alcoholism

Ruiyong Yuan, MD, PhD; Vincent J. Caracciolo, MD; Mark Kulaga, MD
JAMA. 2002;287(3):318-319. doi:10.1001/jama.287.3.313.
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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.

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Figure. Abdominal Computed Tomography Scan of a Patient With Alcoholism
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Abdominal computed tomography scan at the L2-L3 level shows marked distension of the bladder and severe bilateral hydroureter.



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