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Uroperitoneum as a Complication of Laparoscopic Cholecystectomy: A Case Report

Background: Bladder rupture is more frequently encountered in blunt pelvic trauma, but can also be spontaneous or iatrogenic. Laparoscopic repair has been widely used during the last few years as a treatment for intraperitoneal bladder perforation. The bladder is the genitourinary organ most often a...

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Autores principales: Kefalas, Charalampos, Menni, Alexandra, Karlafti, Eleni, Panidis, Stavros, Chatziantoniou, Georgios, Katsiafliaka, Konstantina, Krokou, Despina, Ioannidis, Aristeidis, Goulas, Patroklos, Netta, Smaro, Paramythiotis, Daniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10146831/
https://www.ncbi.nlm.nih.gov/pubmed/37109082
http://dx.doi.org/10.3390/jpm13040696
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author Kefalas, Charalampos
Menni, Alexandra
Karlafti, Eleni
Panidis, Stavros
Chatziantoniou, Georgios
Katsiafliaka, Konstantina
Krokou, Despina
Ioannidis, Aristeidis
Goulas, Patroklos
Netta, Smaro
Paramythiotis, Daniel
author_facet Kefalas, Charalampos
Menni, Alexandra
Karlafti, Eleni
Panidis, Stavros
Chatziantoniou, Georgios
Katsiafliaka, Konstantina
Krokou, Despina
Ioannidis, Aristeidis
Goulas, Patroklos
Netta, Smaro
Paramythiotis, Daniel
author_sort Kefalas, Charalampos
collection PubMed
description Background: Bladder rupture is more frequently encountered in blunt pelvic trauma, but can also be spontaneous or iatrogenic. Laparoscopic repair has been widely used during the last few years as a treatment for intraperitoneal bladder perforation. The bladder is the genitourinary organ most often affected by iatrogenic injury. The purpose of this article is to report what is, to our knowledge, the first documented case of bladder rupture as a complication of laparoscopic cholecystectomy. Case description: A 51-year-old female presented to the emergency department complaining about generalized abdominal pain on the sixth postoperative day after laparoscopic cholecystectomy. Laboratory results highlighted a significant impact on renal function while the abdominal CT scan demonstrated free intraperitoneal fluid collection and surgical clips in the anatomic region of the liver and in an ectopic position near the ileocecal valve. An explorative laparoscopy revealed a 2 cm defect in the superior bladder wall, which was repaired in one layer in a continuous-locking fashion. The patient was discharged home on the fifth postoperative day having an uneventful recovery. Conclusion: Bladder rupture frequently presents with non-specific clinical signs; as a result, it is easily misdiagnosed, especially when it occurs with a non-typical mechanism of injury. Pseudorenal failure is a relatively obscure entity that may help the clinician suspect a bladder perforation. Laparoscopic repair with a single-layer continuous suture technique is a safe and feasible treatment in hemodynamically stable patients. Prospective research is required to specify the optimal timing of catheter removal after bladder repair.
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spelling pubmed-101468312023-04-29 Uroperitoneum as a Complication of Laparoscopic Cholecystectomy: A Case Report Kefalas, Charalampos Menni, Alexandra Karlafti, Eleni Panidis, Stavros Chatziantoniou, Georgios Katsiafliaka, Konstantina Krokou, Despina Ioannidis, Aristeidis Goulas, Patroklos Netta, Smaro Paramythiotis, Daniel J Pers Med Case Report Background: Bladder rupture is more frequently encountered in blunt pelvic trauma, but can also be spontaneous or iatrogenic. Laparoscopic repair has been widely used during the last few years as a treatment for intraperitoneal bladder perforation. The bladder is the genitourinary organ most often affected by iatrogenic injury. The purpose of this article is to report what is, to our knowledge, the first documented case of bladder rupture as a complication of laparoscopic cholecystectomy. Case description: A 51-year-old female presented to the emergency department complaining about generalized abdominal pain on the sixth postoperative day after laparoscopic cholecystectomy. Laboratory results highlighted a significant impact on renal function while the abdominal CT scan demonstrated free intraperitoneal fluid collection and surgical clips in the anatomic region of the liver and in an ectopic position near the ileocecal valve. An explorative laparoscopy revealed a 2 cm defect in the superior bladder wall, which was repaired in one layer in a continuous-locking fashion. The patient was discharged home on the fifth postoperative day having an uneventful recovery. Conclusion: Bladder rupture frequently presents with non-specific clinical signs; as a result, it is easily misdiagnosed, especially when it occurs with a non-typical mechanism of injury. Pseudorenal failure is a relatively obscure entity that may help the clinician suspect a bladder perforation. Laparoscopic repair with a single-layer continuous suture technique is a safe and feasible treatment in hemodynamically stable patients. Prospective research is required to specify the optimal timing of catheter removal after bladder repair. MDPI 2023-04-21 /pmc/articles/PMC10146831/ /pubmed/37109082 http://dx.doi.org/10.3390/jpm13040696 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Kefalas, Charalampos
Menni, Alexandra
Karlafti, Eleni
Panidis, Stavros
Chatziantoniou, Georgios
Katsiafliaka, Konstantina
Krokou, Despina
Ioannidis, Aristeidis
Goulas, Patroklos
Netta, Smaro
Paramythiotis, Daniel
Uroperitoneum as a Complication of Laparoscopic Cholecystectomy: A Case Report
title Uroperitoneum as a Complication of Laparoscopic Cholecystectomy: A Case Report
title_full Uroperitoneum as a Complication of Laparoscopic Cholecystectomy: A Case Report
title_fullStr Uroperitoneum as a Complication of Laparoscopic Cholecystectomy: A Case Report
title_full_unstemmed Uroperitoneum as a Complication of Laparoscopic Cholecystectomy: A Case Report
title_short Uroperitoneum as a Complication of Laparoscopic Cholecystectomy: A Case Report
title_sort uroperitoneum as a complication of laparoscopic cholecystectomy: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10146831/
https://www.ncbi.nlm.nih.gov/pubmed/37109082
http://dx.doi.org/10.3390/jpm13040696
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