Hyper-elevated prostate-specific antigen levels are not always carcinoma

Abstract

An 81-year-old man with a past history of diabetes, hypertension, ischaemic heart disease and cerebrovascular disease was admitted to hospital with hypotension and bradycardic collapse. Owing to persistent hypotension and a low urine output, an indwelling catheter (IDC) was inserted per urethra and a cardiac pacemaker was placed the following day. A serum prostate-specific antigen (PSA) level was back-ordered on initial bloods taken before IDC insertion, as passing the catheter was difficult and he was noted to have an enlarged prostate. A trial of void without catheter was successful 24 hours after initial insertion, leading to discharge that evening He represented to the emergency departm..