{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T06:18:32Z","timestamp":1768285112167,"version":"3.49.0"},"reference-count":14,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,6,10]]},"abstract":"<jats:p>Lower urinary tract symptoms (LUTS) are a common complaint in the general population with great impact on the quality of life. Besides the classical pathologies, there are less common causes that must be considered in the treatment approach for patients with LUTS. We present the case of a 30-year-old patient with multiple emergency department episodes with dysuria, urinary frequency, suprapubic pain and an episode of acute urinary retention. The blood and urine tests only revealed increased systemic inflammatory parameters. The ultrasound examination showed thickening of the bladder wall, and the CT scan revealed a retropubic abscess originating from a pubic symphysis osteomyelitis. A percutaneous drainage was performed and, after empirical antibiotic therapy, there was complete resolution of the clinical picture.<\/jats:p>","DOI":"10.1136\/bcr-2018-224559","type":"journal-article","created":{"date-parts":[[2018,6,21]],"date-time":"2018-06-21T10:05:24Z","timestamp":1529575524000},"page":"bcr-2018-224559","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Abscess originating from osteomyelitis as a cause of lower urinary tract symptoms (LUTS) and acute urinary retention"],"prefix":"10.1136","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9394-788X","authenticated-orcid":false,"given":"Joao","family":"Pimentel Torres","sequence":"first","affiliation":[{"name":"Department of Urology, Hospital de Braga, Braga, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nuno","family":"Morais","sequence":"additional","affiliation":[{"name":"Department of Urology, Hospital de Braga, Braga, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agostinho","family":"Cordeiro","sequence":"additional","affiliation":[{"name":"Department of Urology, Hospital de Braga, Braga, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Estevao","family":"Lima","sequence":"additional","affiliation":[{"name":"Department of Urology, Hospital de Braga, Braga, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,6,21]]},"reference":[{"key":"2025082801340647000_2018.jun21_1.bcr-2018-224559.1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.21.2381"},{"key":"2025082801340647000_2018.jun21_1.bcr-2018-224559.2","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1111\/bju.12745","article-title":"Burden of male lower urinary tract symptoms (LUTS) suggestive of benign prostatic hyperplasia (BPH) - focus on the UK","volume":"115","author":"Speakman","year":"2015","journal-title":"BJU Int"},{"key":"2025082801340647000_2018.jun21_1.bcr-2018-224559.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2008.03.109"},{"key":"2025082801340647000_2018.jun21_1.bcr-2018-224559.4","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-010-0605-8"},{"key":"2025082801340647000_2018.jun21_1.bcr-2018-224559.5","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1097\/SPV.0b013e318278cd3b","article-title":"Subpubic cartilaginous cyst presenting as acute urinary retention: a report and review of the literature","volume":"19","author":"Ghareeb","year":"2013","journal-title":"Female Pelvic Med Reconstr Surg"},{"key":"2025082801340647000_2018.jun21_1.bcr-2018-224559.6","first-page":"295","article-title":"Subpubic cartilaginous cyst: a rare cause of dysuria","volume":"96","author":"Vanhoenacker","year":"2013","journal-title":"JBR-BTR"},{"key":"2025082801340647000_2018.jun21_1.bcr-2018-224559.7","first-page":"948","article-title":"Appendiceal abscess--an unusual cause of acute urinary retention: a case report","volume":"85","author":"Edewor","year":"1993","journal-title":"J Natl Med Assoc"},{"key":"2025082801340647000_2018.jun21_1.bcr-2018-224559.8","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1016\/S0090-4295(99)80277-5","article-title":"Staphylococcus periprostatic abscess: an unusual cause of acute urinary retention","volume":"46","author":"Savarirayan","year":"1995","journal-title":"Urology"},{"key":"2025082801340647000_2018.jun21_1.bcr-2018-224559.9","first-page":"1087","article-title":"A rare cause of lower urinary tract symptoms: retrovesical hydatid cyst","volume":"64","author":"Ercil","year":"2014","journal-title":"J Pak Med Assoc"},{"key":"2025082801340647000_2018.jun21_1.bcr-2018-224559.10","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1016\/j.jemermed.2009.04.053","article-title":"Neuroblastoma causing acute urinary retention: a rare presentation","volume":"39","author":"Rasmussen","year":"2010","journal-title":"J Emerg Med"},{"key":"2025082801340647000_2018.jun21_1.bcr-2018-224559.11","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/2012.9.18"},{"key":"2025082801340647000_2018.jun21_1.bcr-2018-224559.12","first-page":"541","article-title":"Osteitis or osteomyelitis of the pubis? 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