A 72-year-old male patient had developed abdominal fullness and bilateral lower leg oedema. He was referred to our emergency room (ER), and abdomen computed tomography (CT) revealed massive ascites and omental cake, enlarged nodes in the para-aortic space, and diffuse irregular wall thickening in the urinary bladder. In the ER, an abdominal paracentesis was performed, and cells were collected for cytology analysis.

Examination

After admission, the patient&#39;s tumour marker levels were checked, and his serum carcinoembryonic antigen levels were elevated (16.77 ng/mL); therefore, a colonoscopy was performed. Several small nodules were noted over the entire colon. In addition, cystoscopy revealed a nonpapillary type bladder tumour over the posterior and left lateral walls.

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MediSage Case Discussions

A 72-year-old male presents with abdominal fullness and edema. CT shows ascites and bladder tumor. Learn about diagnosis and treatment options.

72-Year-Old Male with Ascites and Bladder Tumor

Abdominal fullness and bilateral lower leg oedema

Clinical case discussion shared for educational purposes and professional medical opinion.

Abdominal fullness and bi...