Intravesical fat entrapment as a cause of failure of extraperitoneal bladder perforation to heal spontaneously

We report a case of intravesical fat entrapment leading to failure of extraperitoneal bladder perforation to heal spontaneously. A 68-year-old woman underwent trans-abdominal hysterectomy complicated by an extraperitoneal bladder perforation. Despite prolonged catheterization, cystographic leakage p...

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Bibliographic Details
Published in:International urology and nephrology 2007-09, Vol.39 (3), p.795-798
Main Authors: Lim, Andy K H, Johns Putra, Lydia G, Troy, Andrew J, Ierino, Francesco L
Format: Article
Language:English
Subjects:
Adipose Tissue - diagnostic imaging
Adipose Tissue - microbiology
Aged
Bromhexine
Cystoscopy
Drainage
Endometrial Neoplasms - surgery
Female
Hematuria - etiology
Humans
Hysterectomy - adverse effects
Pseudomonas Infections - complications
Recurrence
Ultrasonography
Urinary Bladder - injuries
Urinary Catheterization
Wound Healing
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Summary:We report a case of intravesical fat entrapment leading to failure of extraperitoneal bladder perforation to heal spontaneously. A 68-year-old woman underwent trans-abdominal hysterectomy complicated by an extraperitoneal bladder perforation. Despite prolonged catheterization, cystographic leakage persisted after 3 months. Bladder imaging and cystoscopy demonstrated a mass of perivesical pelvic fat protruding into the bladder cavity. The patient was symptomatic with pain and persistent urinary tract infection with episodes of sepsis. A transurethral resection of the mass was performed which led to bladder healing and resolution of symptoms.
ISSN:0301-1623
1573-2584
DOI:10.1007/s11255-006-9097-2