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Urinary Retention as the Presenting Clinical Manifestation of Unstable Thoracic Spinal Fracture with Diffuse Idiopathic Skeletal Hyperostosis.
Hamaguchi, Hisashi; Yumoto, Tetsuya; Mae, Soichiro; Takeshita, Ayumu; Aoyama, Minae; Yamana, Keiya; Nakao, Atsunori.
Afiliação
  • Hamaguchi H; Department of Emergency Medicine, Kasaoka Daiichi Hospital, Kasaoka, Okayama, Japan.
  • Yumoto T; Department of Medical Education, Kurashiki Central Hospital, Kurashiki, Okayama, Japan.
  • Mae S; Department of Emergency Medicine, Kasaoka Daiichi Hospital, Kasaoka, Okayama, Japan.
  • Takeshita A; Department of Emergency, Critical Care and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Kita-ku, Okayama, Japan.
  • Aoyama M; Department of Emergency Medicine, Kasaoka Daiichi Hospital, Kasaoka, Okayama, Japan.
  • Yamana K; Emergency and Critical Care Center, Kurashiki Central Hospital, Kurashiki, Okayama, Japan.
  • Nakao A; Department of Orthopedic Surgery, Kasaoka Daiichi Hospital, Kasaoka, Okayama, Japan.
Clin Med Insights Case Rep ; 14: 11795476211027988, 2021.
Article em En | MEDLINE | ID: mdl-34248361
ABSTRACT
Patients with diffuse idiopathic skeletal hyperostosis (DISH) are at high risk for unstable vertebral fracture, which can be frequently missed. An 80-year-old man with pre-existing muscle lower limb weakness due to frailty was referred from another hospital, presenting with progressive urinary retention and its related symptoms, which had been treated as a urinary tract infection at previous hospital. One week prior to our visit, he had fallen. On arrival, he appeared lethargic and unable to follow commands. He denied any back pain. Computed tomography identified a T10 fracture and dislocation associated with DISH. Although immediate surgical fixation was performed, the patient did not recover from the neurological deficits. Diagnostic delay of DISH-associated vertebral fracture can occur due to both patients' and clinicians' delayed action. We believe this case report can help clinicians recognize this potentially devastating condition.
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Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Prognostic_studies Idioma: En Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Prognostic_studies Idioma: En Ano de publicação: 2021 Tipo de documento: Article