acute urinary retention due to endometriosis in a postmenopausal woman: report of a case

abectract introduction & objective: acute urinary retention is an unusual symptom among women. this is a case report of acute urinary retention due to endometriosis in a postmenopausal woman. case: the patient was a 49 – years old woman who had referred with dull abdominal pain and acute urinary retention for a few weeks. in physical examination, cervix was displaced anteriorly and superiorly and a large and tender mass was palpable above symphysis pubis. ultrasonography and ct-scan showed a huge thick-walled cystic structure almost 12×14 cm occupying central part of pelvic and lower abdominal cavity most likely arised from left ovary. the patient operated and tah+bso was done.the mass was reported endometriosis by pathologist. ca-125 level was normal. conclusion: endometriosis is not a disease of childbearing age and about 2-4% of cases occur in postmenopausal age. it is still unclear how endometric masses grow and become evident in postmenopausal women .