A Case of Delayed Diagnosis of Bilateral Ureteral and Bladder Injury after Laparoscopic Hysterectomy: An Unusual Complication

Abstract

The incidence of ureteral and bladder lesions after laparoscopic hysterectomy is the most encountered urinary complication in gynaecological surgery. We report the unusual case of 42-year-old woman who had a delayed diagnosis of bilateral ureteral injury associated with bladder lesion and loose of vaginal suture after undergoing laparoscopic hysterectomy for uterine adenomyosis.

CO2 Flow Dynamics of Bladder Injury During Laparoscopy and the Effect of the Content of the Abdominal Viscera During Injury – Experimental Study

“…A previous study concluded that gas distension of the urinary drainage bag was one of the signs of urinary tract injury [25] and that in the usual operative settings gas distension could not be explained without an injury. However, various publications have found that gas distension of urinary bags was not present in all cases of bladder injuries occurring during laparoscopy, even in the presence of urinary catheterization [26][27][28]. Thus, intra-operative conditions and variations may affect the passage of gas into the urinary bladder and drainage bags.…”