1 1
,1
1 1
,1
1
1
1 1
Mr.1Johnson1has1a1prior1history1of1laparoscopic1cholecystectomy1at1age162,1which1had1an1
uneventful1postoperative1course1and1recovery.1He1has1no1history1of1prostate1surgery1or1a
ny1major1abdominal1or1pelvic1procedures1aside1from1the1cholecystectomy.1He1has1never1un
dergone1urological1procedures1such1as1TURP1or1catheterization1prior1to1this1episode.1
,1
1
1
1 1
4
.11Presenting1Complaints1
The1patient1presents1with1sudden1onset1inability1to1urinate1for1the1past1121hours,1accompani
ed1by1progressive1lower1abdominal1pain1and1distension.1He1reports1mild1nausea1but1denies1
vomiting.1There1is1no1hematuria,1fever,1chills,1or1dysuria1reported1by1the1patient.1He1expresses1