Zimmermann Oliver, Torzewski Jan, Reichenbach-Klinke Ekkehard, Zenk Christine
Cardiovascular Center Oberallgäu Kempten, Hospital Immenstadt, Germany;
Clinic for Urology, Immenstadt, Germany;
Can Urol Assoc J. 2015 May-Jun;9(5-6):E321-3. doi: 10.5489/cuaj.2533.
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.
一名73岁男性因进行性呼吸困难入院；他还患有良性前列腺增生（BPH）。血管计算机断层扫描显示双侧主肺动脉有血栓形成的肺栓塞。通过双功超声检查，我们在右侧股浅静脉和股总静脉中检测到血栓。同时，我们还注意到膀胱右侧有一个大憩室以及左肾尿路淤积II级。我们认为良性前列腺增生是膀胱继发性憩室的触发因素。由于其尺寸较大，右侧盆腔深部静脉受到机械性压迫导致血栓形成，最终引发肺栓塞。关于尿路淤积II级，计划对憩室进行手术切除并解除膀胱下梗阻。大型憩室可能导致致命后果，可能需要进行手术。
