An Unusual Case of Bilateral Peripheral Edema in a Male with Undiagnosed Type 2 Diabetes Mellitus / 임상당뇨병
Journal of Korean Diabetes
; : 57-61, 2019.
Article
em Ko
| WPRIM
| ID: wpr-761464
Biblioteca responsável:
WPRO
ABSTRACT
The present article demonstrates an unusual case of bilateral lower extremity edema caused by neurogenic areflexic bladder as the first physical symptom of diabetes. A 52-year-old man presented to the emergency department because of massive edema of his lower limbs. The edema had been present for 2 weeks, was symmetrical, and was progressively covering the lower limbs up to the inguinal area, scrotal bag, and penis and was accompanied by dysuria and an interrupted urine stream. Laboratory findings revealed a serum glucose level of 657 mg/dL and glycated hemoglobin (HbA1c) level of 15.6%. Computed tomography (CT) of the abdomen and pelvis revealed marked enlargement of the bladder with bilateral hydronephrosis and hydroureter. In addition, CT demonstrated bilateral compression of the iliac veins caused by the enlarged bladder. This case highlights the importance of a broad differential diagnosis for patients with diabetes and extensive peripheral edema. Neurogenic bladder should be considered in the differential diagnosis, even in newly diagnosed diabetic patients.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Pelve
/
Pênis
/
Bexiga Urinária
/
Bexiga Urinaria Neurogênica
/
Glicemia
/
Hemoglobinas Glicadas
/
Extremidade Inferior
/
Rios
/
Complicações do Diabetes
/
Diabetes Mellitus Tipo 2
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
/
Male
Idioma:
Ko
Revista:
Journal of Korean Diabetes
Ano de publicação:
2019
Tipo de documento:
Article