Urinary ascites secondary to delayed diagnosis of laparoscopic bladder injury

We present a case of urinary ascites in a young woman secondary to unrecognized bladder injury during gynaecologic laparoscopic surgery. Delayed diagnosis occurred due to the absence of expected changes in serum biochemistry, which made the diagnosis of urinoma less likely. High suspicion of bladder...

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Bibliographic Details
Published in:Journal of minimal access surgery 2010-04, Vol.6 (2), p.50-52
Main Authors: Al-Mandeel, Hazem, Qassem, Abeer
Format: Article
Language:English
Subjects:
Antibiotics
Ascites
Bladder diseases
Care and treatment
Case studies
Cysts
Diagnosis
Dissection
Fever
Health aspects
Inadvertent bladder injury
Inadvertent bladder injury, laparoscopy, urinary ascites
Laparoscopic surgery
Laparoscopy
Medical treatment
Patient outcomes
Postoperative period
Risk factors
Unusual Case
urinary ascites
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Summary:We present a case of urinary ascites in a young woman secondary to unrecognized bladder injury during gynaecologic laparoscopic surgery. Delayed diagnosis occurred due to the absence of expected changes in serum biochemistry, which made the diagnosis of urinoma less likely. High suspicion of bladder injury following laparoscopic surgery should be present in patients with ill-defined symptoms even if no biochemical changes are seen. The case demonstrates important points in relation to the consequences of delayed diagnosis as well as overview on detection and prevention of such injury.
ISSN:0972-9941
1998-3921
DOI:10.4103/0972-9941.65165