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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 343:1105-1111 October 12, 2000 Number 15
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Case 31-2000— A 32-Year-Old Man with a Lesion of the Urinary Bladder
Robert D. Blute, and Esther Oliva

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Presentation of Case

A 32-year-old man was evaluated for a lesion of the urinary bladder.

The patient had been well until 16 months earlier, when he had an episode of perineal pain associated with painful ejaculation and a brown, curdled ejaculate. There was no hematuria. His condition improved after treatment with ciprofloxacin. He had had no previous genitourinary symptoms except for the long-standing presence of dribbling after voiding.

Four months before the evaluation, the patient was seen at this hospital because of urinary frequency of four days' duration, with intermittent passage of small blood clots in the urine, vague discomfort at the base . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Robert D. Blute, Jr.'s Diagnoses

Pathological Discussion

Anatomical Diagnosis

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