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Journal of Medical Case Reports

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Open Access 01-12-2018 | Case report

Deep vein thrombosis and pulmonary embolism secondary to urinary retention: a case report

Authors: Tatsushi Kawada, Takashi Yoshioka, Motoo Araki, Hiroyuki Nose, Tadashi Oeda

Published in: Journal of Medical Case Reports | Issue 1/2018

Abstract

Background

Pulmonary embolism occurs when a blood thrombus forms and travels from a vein in the body to an artery in the lung. Thrombi often develop in one of the deep veins of the legs, thighs, or pelvis, a condition known as deep vein thrombosis. In this report, we describe a rare instance of a patient who developed deep vein thrombosis and pulmonary embolism secondary to urinary retention, and we also review some of the literature.

Case presentation

A 75-year-old Japanese man visited our hospital with the complaint of lower extremity weakness. A physical examination revealed bilateral leg edema. Contrast-enhanced computed tomography showed thrombi in both the bilateral intrapelvic veins and the right pulmonary artery, with an extremely distended bladder. We diagnosed deep vein thrombosis and pulmonary embolism due to urinary retention, which was attributed to detrusor insufficiency owing to both taking an anticholinergic drug and neurogenic bladder. The patient was immediately started on both management of voiding dysfunction and anticoagulant therapy.

Conclusions

We encountered a patient with deep vein thrombosis and pulmonary embolism secondary to urinary retention that could have been fatal. In such cases, clinicians should always take into account appropriate management of voiding dysfunction.

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Title: Deep vein thrombosis and pulmonary embolism secondary to urinary retention: a case report
Authors: Tatsushi Kawada
Takashi Yoshioka
Motoo Araki
Hiroyuki Nose
Tadashi Oeda
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: Journal of Medical Case Reports / Issue 1/2018
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.1186/s13256-018-1605-3

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Deep vein thrombosis and pulmonary embolism secondary to urinary retention: a case report

Abstract

Background

Case presentation

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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