{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:10:03Z","timestamp":1756307403371,"version":"3.44.0"},"reference-count":4,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,3,8]]},"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:p>A 61-year-old man presented with urinary retention with obstructive uropathy (urea\/creatinine: 126\/9.2\u2009mg\/dL) secondary to a large prostatic haematoma while being medically managed for benign enlargement of the prostate. The patient did not have any fever or local symptoms and the prostate was enlarged and non-tender on examination. Ultrasound and MRI of the pelvis showed a 9.4\u00d710.4\u00d711.1\u2009cm sized prostatic haematoma seen displacing and compressing the urinary bladder anteriorly with bilateral hydroureteronephrosis. The patient was managed with per-urethral catheterisation, haemodialysis and injectable antibiotics. Percutaneous pigtail placement into the prostatic haematoma led to gradual drainage of the haematoma with improvement in the renal parameters. Definitive surgery in the form of transurethral resection of the prostate was done at a later date. Intraoperatively multiple encapsulated cavities containing organised clots were deroofed. On follow-up, the patient did well and had good urinary flow and normal renal parameters.<\/jats:p>","DOI":"10.1136\/bcr-2018-228787","type":"journal-article","created":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T08:06:54Z","timestamp":1554106014000},"page":"e228787","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous prostatic haematoma in a case of benign prostatic hyperplasia"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2260-453X","authenticated-orcid":false,"given":"Devanshu","family":"Bansal","sequence":"first","affiliation":[{"name":"Department of Urology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amlesh","family":"Seth","sequence":"additional","affiliation":[{"name":"Department of Urology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,3,31]]},"reference":[{"key":"2025082707385814000_12.3.e228787.1","doi-asserted-by":"crossref","first-page":"118","DOI":"10.5301\/urologia.5000043","article-title":"Spontaneous prostatic hematoma: an unusual presentation of prostatic cancer","volume":"82","author":"Morlacco","year":"2015","journal-title":"Urologia"},{"key":"2025082707385814000_12.3.e228787.2","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1016\/S0022-5347(17)58558-4","article-title":"Large prostatic hematomas associated with carcinoma of the prostate","volume":"117","author":"Morganstern","year":"1977","journal-title":"J Urol"},{"issue":"11-12","key":"2025082707385814000_12.3.e228787.3","doi-asserted-by":"crossref","first-page":"888","DOI":"10.5489\/cuaj.2135","article-title":"Intraprostatic hematoma with active bleeding post-prostate biopsy","volume":"8","author":"Guo","year":"2014","journal-title":"Can Urol Assoc J"},{"key":"2025082707385814000_12.3.e228787.4","doi-asserted-by":"publisher","DOI":"10.1136\/adc.35.180.177"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-228787","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:39:03Z","timestamp":1756305543000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-228787"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3]]},"references-count":4,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,3,31]]},"published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1136\/bcr-2018-228787"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-228787","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,3]]}}}