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

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

Research output: Contribution to journalArticle

1 Citation (Scopus)

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.

Original languageEnglish
Article number78
JournalJournal of Medical Case Reports
Volume12
Issue number1
DOIs
Publication statusPublished - Mar 23 2018

Keywords

  • Deep vein thrombosis
  • Neurogenic bladder
  • Pulmonary embolism
  • Urinary retention

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint Dive into the research topics of 'Deep vein thrombosis and pulmonary embolism secondary to urinary retention: A case report'. Together they form a unique fingerprint.

  • Cite this