Open Journal of Urology, 2021, 11, 233-239 https://www.scirp.org/journal/oju ISSN Online: 2160-5629 ISSN Print: 2160-5440 DOI: 10.4236/oju.2021.117021 Jul. 9, 2021 233 Open Journal of Urology Primary Presentation of Ovarian Cancer with Bladder Outlet Obstruction/Chronic Urinary Retention in a 12-Year Old Female Charles Azuwike Odoemene 1* , Ijeoma Ezeome 2 , Okechukwu Charles Okafor 3 1 Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria 2 University of Nigeria Teaching Hospital, Enugu, Nigeria 3 Department of Morbid Anatomy, University of Nigeria Teaching Hospital, Enugu, Nigeria Abstract Urinary retention in women is rare and is more frequently described as case reports or small case series. The female/male ratio is 1:13 with about 3 cases per 100,000 women every year We report a case of a 12-year old female stu- dent. She presented with progressive weight loss, worsening lower urinary tract symptoms with distended lower abdomen of 10 weeks duration. Physical examination revealed a mobile tender firm pelvic mass, 18 centimeters (cm) × 16 cm in size. Laboratory and imaging studies showed obstructive nephropa- thy and uropathy respectively. She was worked up and had uneventful explo- ratory laparotomy with right salpingo-oophorectomy, urinary bladder diver- ticulectomy and pelvic lymphadenectomy. Histopathology of the pelvic mass showed ovarian dysgerminoma with lymph node metastasis. She responded very well to chemotherapy and resumed her school activities. Bladder outlet obstruction is relatively rare in females and in the index patient, ovarian dys- germinoma is the cause leading to obstructive nephropathy and uropathy. Keywords Bladder Outlet Obstruction, Chronic Urinary Retention, Pelvic Mass, Ovarian Dysgerminoma, Chemotherapy 1. Introduction Urinary retention implies a difficulty in passing urine or completely emptying the urinary bladder and it can be acute or chronic. Urinary retention in women is rare with about 3 cases per 100,000 women every year [1]. The female/male ratio is 1:13 [1] [2]. In short, urinary retention in females is more frequently de- How to cite this paper: Odoemene, C.A., Ezeome, I. and Okafor, O.C. (2021) Prima- ry Presentation of Ovarian Cancer with Bladder Outlet Obstruction/Chronic Uri- nary Retention in a 12-Year Old Female. Open Journal of Urology, 11, 233-239. https://doi.org/10.4236/oju.2021.117021 Received: April 29, 2021 Accepted: July 6, 2021 Published: July 9, 2021 Copyright © 2021 by author(s) and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/ Open Access