case_images: PMC10944343_01
case_images: Axial and coronal views from computed tomography of the abdomen and pelvis with intravenous contrast demonstrating mild-to-moderate bilateral hydroureteronephrosis (green arrows) secondary to obstructing urinary bladder mass (blue arrow).
case_images: CRIHEM2024-6144020.001.jpg
case_images: PMC10944343_01_CRIHEM2024-6144020.001.jpg
case_images: fig1
case_images: A computed tomography of the abdomen and pelvis with intravenous contrast showed increased mild-to-moderate bilateral hydroureteronephrosis secondary to obstructing urinary bladder mass (Figure 1).
case_images: Coronal views from computed tomography of the abdomen and pelvis demonstrating left pubic lytic metastatic lesion (red arrow).
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case_images: PMC10944343_01_CRIHEM2024-6144020.002.jpg
case_images: fig2
case_images: There was also a new left pubic lytic metastatic lesion (Figure 2).
case_images: A bilateral lower extremity venous duplex ultrasound was performed on admission, which showed no evidence of deep venous thrombosis in either lower extremity.
case_images: CRIHEM2024-6144020.003.jpg
case_images: PMC10944343_01_CRIHEM2024-6144020.003.jpg
case_images: fig3
case_images: A bilateral lower extremity venous duplex ultrasound was performed on admission, which showed severe edema in the left thigh with enlarged inguinal lymph nodes but no evidence of deep venous thrombosis in either lower extremity (Figure 3).
case_images: A repeat venous duplex was repeated during our patient's hospitalization which demonstrated deep vein thrombosis in the left common femoral vein, femoral vein, popliteal vein, gastrocnemius vein, peroneal vein, and posterior tibial vein. Demonstration of evidence of deep venous thrombosis in the left common femoral and left popliteal veins.
case_images: CRIHEM2024-6144020.004.jpg
case_images: PMC10944343_01_CRIHEM2024-6144020.004.jpg
case_images: fig4
case_images: The venous duplex demonstrated deep vein thrombosis in the left common femoral vein, femoral vein, popliteal vein, gastrocnemius vein, peroneal vein, and posterior tibial vein (Figure 4).
case_images: Pathologic examination of the left iliofemoral vein thrombus demonstrates minute fragments of metastatic carcinoma seen, admixed with laminated blood clots (thrombus).
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case_images: PMC10944343_01_CRIHEM2024-6144020.005.jpg
case_images: fig5
case_images: Pathologic examination discovered minute fragments of metastatic carcinoma, admixed with laminated blood clots (thrombus) (Figure 5).