Large diverticulum of the urinary bladder: A rare cause of deep vein thrombosis with consecutive pulmonary embolism

Authors

  • Oliver Zimmermann Cardiovascular Center Oberallgäu - Kempten Im Stillen 3 87509 Immenstadt Germany
  • Jan Torzewski Cardiovascular Center Oberallgäu - Kempten Im Stillen 3 87509 Immenstadt Germany
  • Ekkehard Reichenbach-Klinke Clinic for Urology Health Center Immenstadt Im Stillen 4 1/2 87509 Immenstadt Germany
  • Christine Zenk Hospital of Immenstadt Department of Internal Medicine Im Stillen 3 87509 Immenstadt Germany

DOI:

https://doi.org/10.5489/cuaj.2533

Keywords:

benign prostatic hyperplasia, diverticulum of the urinary bladder, deep vein thrombosis, pulmonary embolism

Abstract

A 73-year-old man was admitted with progressive dyspnea; he also had benign prostatic hyperplasia (BPH). An angio computed tomography scan showed pulmonary embolism with thrombi in both main pulmonary arteries. By duplex ultrasonography, we detected a thrombus in the right vena femoralis superficialis and vena femoralis communis. Simultaneously, we also noticed a large diverticulum on the right side of the urinary bladder and urinary stasis II of the left kidney. We consider the BPH as the trigger for a secondary diverticulum of the urinary bladder. As a result of its large dimensions, mechanical compression of the deep right pelvic veins resulted in thrombosis which finally caused the pulmonary embolism. With respect to the urinary stasis II, surgical excavation of the diverticulum with infravesical desobstruction was planned. The potentially lethal course of large diverticula may require surgery.

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Author Biographies

Oliver Zimmermann, Cardiovascular Center Oberallgäu - Kempten Im Stillen 3 87509 Immenstadt Germany

Cardiovascular Center Oberallgäu - Kempten
Consultant

Jan Torzewski, Cardiovascular Center Oberallgäu - Kempten Im Stillen 3 87509 Immenstadt Germany

Cardiovascular Center Oberallgäu - Kempten
Head of the Department

Ekkehard Reichenbach-Klinke, Clinic for Urology Health Center Immenstadt Im Stillen 4 1/2 87509 Immenstadt Germany

Clinic for urology

urologist

Christine Zenk, Hospital of Immenstadt Department of Internal Medicine Im Stillen 3 87509 Immenstadt Germany

consultant

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Published

2015-05-13

How to Cite

Zimmermann, O., Torzewski, J., Reichenbach-Klinke, E., & Zenk, C. (2015). Large diverticulum of the urinary bladder: A rare cause of deep vein thrombosis with consecutive pulmonary embolism. Canadian Urological Association Journal, 9(5-6), E321–3. https://doi.org/10.5489/cuaj.2533

Issue

Section

Case Report