Case 39061

Abstract

Presentation of Case First admission. A seventy-four-year-old man was referred to the hospital because of weakness and pain in the back.The patient was apparently well until about three years before entry, when he fell from a small step-ladder and sustained a comminuted fracture of the surgical neck of the right humerus. He was admitted to another hospital, and on the following morning urinary retention developed. Catheterization revealed gross hematuria. He was placed on constant drainage and progressed satisfactorily without recurrence of hematuria; later, however, when the catheter was removed, he was unable to void. The catheter was replaced, . . .