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

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

Fingerprint

Urinary Retention
Pulmonary Embolism
Venous Thrombosis
Veins
Thrombosis
Leg
Neurogenic Urinary Bladder
Cholinergic Antagonists
Thigh
Pelvis
Anticoagulants
Pulmonary Artery
Physical Examination
Lower Extremity
Edema
Urinary Bladder
Arteries
Tomography
Lung
Pharmaceutical Preparations

Keywords

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

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Deep vein thrombosis and pulmonary embolism secondary to urinary retention : A case report. / Kawada, Tatsushi; Yoshioka, Takashi; Araki, Motoo; Nose, Hiroyuki; Oeda, Tadashi.

In: Journal of Medical Case Reports, Vol. 12, No. 1, 78, 23.03.2018.

Research output: Contribution to journalArticle

Kawada, Tatsushi ; Yoshioka, Takashi ; Araki, Motoo ; Nose, Hiroyuki ; Oeda, Tadashi. / Deep vein thrombosis and pulmonary embolism secondary to urinary retention : A case report. In: Journal of Medical Case Reports. 2018 ; Vol. 12, No. 1.
@article{b3af77c47e724ce588f9d7d91cfe2e23,
title = "Deep vein thrombosis and pulmonary embolism secondary to urinary retention: A case report",
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.",
keywords = "Deep vein thrombosis, Neurogenic bladder, Pulmonary embolism, Urinary retention",
author = "Tatsushi Kawada and Takashi Yoshioka and Motoo Araki and Hiroyuki Nose and Tadashi Oeda",
year = "2018",
month = "3",
day = "23",
doi = "10.1186/s13256-018-1605-3",
language = "English",
volume = "12",
journal = "Journal of Medical Case Reports",
issn = "1752-1947",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Deep vein thrombosis and pulmonary embolism secondary to urinary retention

T2 - A case report

AU - Kawada, Tatsushi

AU - Yoshioka, Takashi

AU - Araki, Motoo

AU - Nose, Hiroyuki

AU - Oeda, Tadashi

PY - 2018/3/23

Y1 - 2018/3/23

N2 - 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.

AB - 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.

KW - Deep vein thrombosis

KW - Neurogenic bladder

KW - Pulmonary embolism

KW - Urinary retention

UR - http://www.scopus.com/inward/record.url?scp=85044399052&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85044399052&partnerID=8YFLogxK

U2 - 10.1186/s13256-018-1605-3

DO - 10.1186/s13256-018-1605-3

M3 - Article

C2 - 29566731

AN - SCOPUS:85044399052

VL - 12

JO - Journal of Medical Case Reports

JF - Journal of Medical Case Reports

SN - 1752-1947

IS - 1

M1 - 78

ER -