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Resolution

A globus of the urinary bladder was suspected based on the opacification in the area of the pelvis and the displacement of the bowel.

The child underwent an ultrasound study that, in fact, displayed a significant urinary retention after voiding, as well as dilatation of the kidney collecting system (consistent with longer-standing retention).
The child was referred to hospital for a) assessment of renal function, b) alleviation of the urinary retention, and c) diagnosis of the source of the retention.

Acknowledgement: Case presented by Nahum Kovalski, BSc, MDCM, Terem Emergency Medical Centers, Jerusalem, Israel.

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Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services