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Open Access Highly Accessed Case report

Distended bladder presenting with constipation and venous obstruction: a case report

Anu Sharma* and Vijay Naraynsingh

Author Affiliations

Faculty of the Clinical Surgical Sciences, University of the West Indies, St. Augustine, Trinidad & Tobago

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Journal of Medical Case Reports 2012, 6:34  doi:10.1186/1752-1947-6-34

Published: 24 January 2012

Abstract

Introduction

A distended urinary bladder has been known to cause venous obstruction or rarely bowel obstruction. We report the first case in the literature in which urinary bladder distension presented with both venous obstruction and constipation. This is an unusual presentation of urinary bladder distension and serves to broaden our differential diagnoses for a patient with clinical venous obstruction.

Case presentation

An 83-year-old man of African descent presented with constipation and bilateral lower limb edema. A huge abdominal mass was evident which was a large, distended urinary bladder confirmed by computed tomography. Promptly after urethral catheterization, both constipation and lower limb edema resolved.

Conclusions

To the best of our knowledge distended urinary bladder causing both constipation and lower limb edema has never previously been reported. Analysis of the literature revealed several factors resulting in the patient's presentation. A high level of suspicion for urinary bladder distension must be maintained for prompt diagnosis and to avoid improper management.