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

Andy K.H. Lim, Lydia G. Johns Putra, Andrew J. Troy, Francesco L. Ierino

Research output: Contribution to journalArticleOtherpeer-review

2 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)795-798
Number of pages4
JournalInternational Urology and Nephrology
Volume39
Issue number3
DOIs
Publication statusPublished - 1 Sep 2007
Externally publishedYes

Keywords

  • Bladder perforation
  • Fat entrapment
  • Hysterectomy
  • Pelvic haematoma
  • Transurethral resection

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