Intravesical strangulation of the small bowel An unusual complication of rupture of urinary bladder

Yalla, Subbarao V.; Slavick, Harris; Burros, Harry M.

doi:10.1016/0090-4295(73)90574-8

Cited by 3 publications

(4 citation statements)

References 3 publications

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“…In previous cases, the patients presented with urinary problems including haematuria and inability to void urine. In cases reported by Yalla et al 2 and Twemlow et al 5 urinary symptoms were accompanied by some features of bowel obstruction. Our case showed features of subacute bowel obstruction, due to the hernia involving only part of the circumference of the small bowel wall.…”

Section: Discussionmentioning

confidence: 78%

An unusual cause of small bowel obstruction caused by a Richter's-type hernia into the urinary bladder

Sakai

Acharya

Mansour

et al. 2014

International Journal of Surgery Case Reports

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INTRODUCTIONThe authors present an unusual case of small bowel obstruction in a 62-year-old man.PRESENTATION OF CASEA 62-year-old man with a background of transitional cell carcinoma (TCC) of the bladder presented to the emergency department with abdominal pain, distension, vomiting and had not opened his bowels for three days. 3 weeks previously he had a repeat Transurtheral resection of bladder tumour (TURBT), during which there was an iatrogenic perforation of the bladder. A CT scan of the abdomen and pelvis revealed small bowel obstruction but did not identify a cause. At laparotomy the cause of the obstruction was identified as a section of the small bowel that had partially herniated into the bladder, via the perforation. The defect was repaired and the patient made an uneventful recovery.DISCUSSIONHerniation of the bowel into a defect in the bladder wall is a rare event with only 6 previous cases reported in the literature. It can cause signs and symptoms of bowel obstruction.CONCLUSIONIn patients with known bladder perforations who present with symptoms and signs of bowel obstruction, bowel herniation into the bladder should be considered. Early surgical intervention may be necessary if the patient is clinically unwell with appropriate symptoms and signs and imaging does not provide conclusive answer.

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Section: Discussionmentioning

confidence: 78%

An unusual cause of small bowel obstruction caused by a Richter's-type hernia into the urinary bladder

Sakai

Acharya

Mansour

et al. 2014

International Journal of Surgery Case Reports

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“…Oesterling et al reported two cases of small bowel herniation into the bladder, one following hysterectomy [6]. Nowak and Zielinski reported another two cases of small bowel herniation, while Yalla et al reported a case of intravesical small bowel strangulation [7,8]. Herniation of omentum was reported by Sharma et al [9].…”

Section: Discussionmentioning

confidence: 91%

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

et al. 2007

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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.

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“…The patients have presented with symptoms of haematuria or inability to void. Cases reported by Yalla et al (6) and Twemlow et al (9) had additional features of bowel obstruction and strangulation. Our patient presented with urinary symptoms of passage of fecal matter and air in urine with no symptoms suggestive of bowel obstruction or strangulation.…”

Section: Discussionmentioning

confidence: 92%

“…Only 7 cases of herniation of gut loops into the urinary bladder have been reported in the literature. Spontaneous rupture, alcohol-related bladder injury, total abdominal hysterectomy and TURBT were the etiologies in the reported cases (2,6,7,8,9). Internal herniation through an acquired bladder wall defect after TUR is an exceedingly rare complication, previously reported in only one patient (2).…”

Section: Discussionmentioning

confidence: 94%

Enterovesical Herniation: A Rare Complication After Transurethral Resection of Bladder Tumor

Samanta¹,

Sharma²,

Chatterjee³

et al. 2019

jus

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Transüretral rezeksiyon sonrası gelişen mesane duvar defekti ile ilişkili enterovezikal herniasyon, son derece nadir görülen bir komplikasyondur. Transüretral rezeksiyon sonrası küçük mesane perforasyonları, yapışık barsak anslarının defekti kapatması nedeniyle tanınamayabilir. Bu çalışmada, bir mesane tümörünün transüretral rezeksiyonunu takiben mesane içine hem ince barsak hem de sigmoid kolonun internal herniasyonuna dair çok nadir bir olgu sunulmuştur. Kubbedeki bir defekt üzerinden barsak anslarının mesane lümenine doğru herniasyonu manyetik rezonans görüntüleme ile görüntülendi. Laparotomi araştırmasında, mesane üst duvarındaki bir defektten ileum ve sigmoid kolonun internal herniasyonu saptandı.

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Intravesical strangulation of the small bowel An unusual complication of rupture of urinary bladder

Cited by 3 publications

References 3 publications

An unusual cause of small bowel obstruction caused by a Richter's-type hernia into the urinary bladder

An unusual cause of small bowel obstruction caused by a Richter's-type hernia into the urinary bladder

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

Enterovesical Herniation: A Rare Complication After Transurethral Resection of Bladder Tumor

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