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Case Reports
. 2015 Jul-Sep;13(3):420-2.
doi: 10.1590/S1679-45082015RC2905. Epub 2015 Jun 30.

Giant prostatic hyperplasia: report of a previously asymptomatic man presenting with gross hematuria and hypovolemic shock

[Article in English, Portuguese]
Marcelo Langer Wroclawski  1 , Ariê Carneiro  1 , Rodrigo Alves Tristão  2 , Paulo Kouiti Sakuramoto  2 , Jorg Daoud Merched Youssef  2 , Antonio Correa Lopes Neto  2 , Lucila Heloísa Simardi Santiago  2 , Antonio Carlos Lima Pompeo  2
Affiliations
Case Reports

Giant prostatic hyperplasia: report of a previously asymptomatic man presenting with gross hematuria and hypovolemic shock

[Article in English, Portuguese]
Marcelo Langer Wroclawski et al. Einstein (Sao Paulo). 2015 Jul-Sep.

Abstract
in English, Portuguese

Giant prostatic hyperplasia is a rare condition characterized by very high volume benign prostatic enlargement (>500g). Few cases have been reported so far and most of them are associated with severe lower urinary symptoms. We report the first case of asymptomatic giant prostatic hyperplasia in an elderly man who had a 720g prostate adenoma, sudden gross hematuria and hypovolemic shock. The patient was successfully treated with open transvesical prostatectomy and had an uneventful postoperative recovery.

A hiperplasia prostática gigante é uma condição rara caracterizada por aumento benigno prostático significativo, com volume maior que 500g. Existem poucos casos relatados e, em sua maioria deles está associada a sintomas graves do trato urinário inferior. Relatamos aqui o primeiro caso de hiperplasia prostática benigna assintomática em paciente idoso com próstata de 720g, hematúria macroscópica de início súbito e choque hipovolêmico. O paciente foi submetido com sucesso à prostatectomia suprapúbica, sem intercorrências no intra e pós-operatório.

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Figures

Figure 1
Figure 1. Computerized tomography scan showing urinary obstruction (hydronephrosis) and a large pelvic mass representing the prostate
Figure 2
Figure 2. The prostatic adenoma, extirpated as a single piece, measuring 17.0x16.0x13.5cm and weighing 720g
Figura 1
Figura 1. Tomografia computadorizada mostrando obstrução urinária (hidronefrose) e massa volumosa representado a próstata
Figura 2
Figura 2. Adenoma prostático, removido com peça única, medindo 17,0x16,0x13,5cm e pesando 720g
See this image and copyright information in PMC

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