87-year-old man was found unresponsive in his hospital bed the morning
after undergoing bladder cystoscopy with glycine bladder irrigation for
evaluation of hematuria. Clotted blood was observed in the bladder
without a specific bleeding site. The patient was observed overnight
and hydrated with IV 5% dextrose in 45% normal saline solution at 75
mL/h. His past history was significant for hypertension,
nephrolithiasis, stage IIB prostate cancer status post radiation
therapy, and coronary artery disease.