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Related Experiment Videos

Venous obstruction due to a distended urinary bladder

J M Evans1, T P Owens, D M Zerbe

  • 1Division of Community Internal Medicine, Mayo Clinic Rochester, Minnesota 55905, USA.

Mayo Clinic Proceedings
|November 1, 1995
PubMed
Summary

Bladder distention can cause leg swelling, mimicking other conditions like deep venous thrombosis. This case highlights urinary retention as a rare cause of venous obstruction, often linked to benign prostatic enlargement.

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Area of Science:

  • Urology
  • Vascular Medicine
  • Internal Medicine

Background:

  • Bladder distention is an uncommon cause of venous obstruction.
  • It can be misdiagnosed as deep venous thrombosis or congestive heart failure.
  • Urinary symptoms may be absent or minimal.

Observation:

  • A 73-year-old man presented with unilateral lower extremity edema due to bladder distention.
  • A review of 15 prior cases revealed mostly painless bilateral lower extremity edema.
  • Benign prostatic enlargement was the most common cause of bladder distention.

Findings:

  • Urinary retention can lead to significant venous obstruction and edema.
  • Clinical presentation can vary, with unilateral or bilateral edema reported.

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  • The underlying cause of bladder distention is often benign prostatic enlargement.
  • Implications:

    • Clinicians should consider bladder distention in cases of unexplained lower extremity edema.
    • Prompt diagnosis and management of urinary retention are crucial.
    • This condition underscores the importance of a thorough differential diagnosis in vascular presentations.