Images in Clinical Medicine
Subacute Urinary Retention
N Engl J Med 2006; 354:e5February 9, 2006
- Article
An 88-year-old man with benign prostate hypertrophy and ischemic heart disease who had undergone an anterior peritoneal resection due to adenocarcinoma of the rectum presented with a three-month history of swelling of the legs. Physical examination revealed severe edema of both legs. A computed tomographic scan of the abdominal pelvis showed an overdistended urinary bladder compressing bilateral external iliac veins (Panel A, arrows), bilateral hydronephrosis (Panel B, arrows), and a renal cyst (Panel B, arrowhead). A Foley catheter was inserted and used to drain 2000 ml of clear urine. Two days later, the edema of the legs had resolved. One month later, the patient underwent transurethral prostatectomy. Two months after surgery, the patient was doing well, with no evidence of edema or urinary obstruction.
Sameer Kassem, M.D.
Gideon Friedman, M.D.
Hadassah Medical Center, 91120 Jerusalem, Israel- Citing Articles (1)
Citing Articles
1
Lucas Ruiz Peñalba, Emilia López Lirola, María Pageo Giménez, Pilar Chamorro García. (2010) Edema en el miembro inferior derecho que simula trombosis venosa profunda secundario a retención urinaria. Revista Española de Geriatría y Gerontología 45:2, 113-114
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