Venous obstruction due to a distended urinary bladder

Mayo Clin Proc. 1995 Nov;70(11):1077-9. doi: 10.4065/70.11.1077.


Bladder distention is an infrequently reported cause of venous obstruction that may be confused clinically with deep venous thrombosis or congestive heart failure. Urinary symptoms may be minimal or absent. Herein we describe a 73-year-old man with unilateral lower extremity edema caused by a distended urinary bladder. In addition, we review the clinical manifestations of 15 previously reported cases of venous obstruction due to urinary retention. Of the 15 patients, all but 1 had painless bilateral lower extremity edema. In most cases, the cause of bladder distention was benign prostatic enlargement.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Diagnosis, Differential
  • Edema / etiology*
  • Humans
  • Leg*
  • Male
  • Prostatic Hyperplasia / complications
  • Prostatic Hyperplasia / diagnosis*
  • Thrombophlebitis / diagnosis
  • Urinary Bladder Neck Obstruction / complications
  • Urinary Bladder Neck Obstruction / diagnosis*
  • Urinary Bladder Neck Obstruction / etiology