Giant urinary bladder (11 000 mL in volume) with bilateral lower limb oedema: an unusual cause of inferior vena cava obstruction

Sharma, Ashish; Agarwal, Samarth; Pandey, Siddharth; Sankhwar, Satyanarayan

doi:10.1136/bcr-2018-226794

Cited by 3 publications

(1 citation statement)

References 2 publications

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“…Chronic urinary retention usually presents with a volume of greater than 1 to 1.5 L of retained urine [10]. Giant urinary bladder has not been well defined in terms of bladder volume or other variables [14]. The handful of cases reported have been mostly below 5 L, of which the latest reported volume is 11 L [10].…”

Section: Discussionmentioning

confidence: 99%

Giant Urinary Bladder in a Woman with Down Syndrome: A Case Report

Padzel,

Ariffin,

Mohd Yusuf

et al. 2024

Am J Case Rep

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Patient: Female, 35-year-old Final Diagnosis: Non neurogenic neurogenic bladder Symptoms: Abdominal distension Clinical Procedure: — Specialty: Family Medicine • Urology Objective: Unusual clinical course Background: Non-neurogenic neurogenic bladder involves fluctuating flow rates due to involuntary muscle contractions during voiding in those with normal neurological function. The diagnostic challenge lies in distinguishing between massive urinary bladder distension and ovarian tumors. While various pathologies mimicking ovarian tumors are documented, cases of a massively distended urinary bladder, known as giant urinary bladder, posing as such are notably scarce. Case Report: This case report presents the unique clinical scenario of a 31-year-old woman with Down syndrome who was initially misdiagnosed with an ovarian tumor due to progressive abdominal distention, reduced appetite, and weight loss. On presentation, she appeared dehydrated, with an abnormal renal profile. Despite hydration, the renal profile worsened. Initial ultrasound showed a large, uniloculated cystic lesion measuring 11×15 cm in the pelvis. Due to the size of the cyst, which appeared to be ovarian in origin, ovarian tumor was suspected. However, tumor markers were normal. A computed tomography scan subsequently showed a massively distended urinary bladder measuring 11.6×13.6×17.6 cm causing bilateral obstructive uropathy, with moderate hydronephrosis and hydroureter. Needing intermittent catheterization at first, the patient subsequently passed urine on her own following behavioral modification. Conclusions: This rare case of non-neurogenic neurogenic bladder causing a giant urinary bladder in a patient with Down syndrome highlights the importance of an awareness of this condition for effective assessment and patient treatment.

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Section: Discussionmentioning

confidence: 99%