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An 88-year-old man with benign prostate hypertrophy and ischemic heart disease who had undergone an anterior peritoneal resection due to adenocarcinoma of the rectum presented with a three-month history of swelling of the legs. Physical examination revealed severe edema of both legs. A computed tomographic scan of the abdominal pelvis showed an overdistended urinary bladder compressing bilateral external iliac veins (Panel A, arrows), bilateral hydronephrosis (Panel B, arrows), and a renal cyst (Panel B, arrowhead). A Foley catheter was inserted and used to drain 2000 ml of clear urine. Two days later, the edema of the legs had resolved. One . . . [Full Text of this Article] |
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