Laparoscopic repair of iatrogenic bladder perforation during transurethral bladder tumor resection: Case report and literature review

Abstract

An intraperitoneal bladder perforation occurred during transurethral tumor resection under general anesthesia in a 82 year old woman. The bladder was repaired with a laparoscopic closure and an indwelling urethral catheter. The histopathology revealed T1 high grade urothelial carcinoma. The patient recovered well and was discharged home on postoperative day 7. This case highlights the successful use of laparoscopy in the treatment of a rare urological complication.

Extraperitoneal bladder perforation secondary to transurethral resection of bladder tumor

“…Patients with extraperitoneal perforations are managed with surgery repaired for the perforation and the bowel. Recent studies have reported that intraperitoneal bladder perforations can be treated with minimally invasive approaches, such as laparoscopic repair or percutaneous peritoneal drainage [12 , 13] . In addition, the treatment of complications, such as hyperkalemia, acidosis, and sepsis, play essential roles [11] .…”

A minimally invasive approach to transperitoneal perforation of the bladder during bladder tumour resection

“…Laparoscopic repair of iatrogenic intraperitoneal bladder perforation has previously been reported as a more conservative alternative to open laparotomy. 7,8 Passing the resectoscope through the perforation and using this to guide the percutaneous placement of a pigtail drain has also been described. 9 We would like to present a case in which a small 20F zero degree urethroscope was passed through a perforation created during TURBT to inspect the adjacent bowel for possible injury and to avoid an open laparotomy.…”