Bladder perforation

Bladder perforation is an uncommon but serious complication that can occur during certain medical or surgical procedures, such as cystoscopy, urinary catheterisation, or abdominal surgery. Bladder rupture can be intraperitoneal, extraperitoneal, or mixed, depending on the site of perforation.

Symptoms of bladder perforation may vary depending on the cause and severity of the injury, but and may include abdominal pain, fever, haematuria, difficulty urinating, or urinary incontinence.

If bladder perforation is suspected, it is important to seek medical attention immediately. Possible consequences of bladder perforation may Complications include infectionsinfection, abscess formation or urinary obstruction, extravasated urine in abdomen, formation of abscesses, sepsis, and even the need for emergency surgery.

Bladder ruptures can be intraperitoneal, extraperitoneal, or mixed, depending on where the extravasation of the fluid occurs.

Treatment for bladder perforation will depend on the cause and severity of the injury. Options may include observation, antibiotics, placement of a suprapubic catheter, and surgical repair, or. Early diagnosis and treatment lead to a combination of these measures. The prognosis may vary, but in general, the earlier the perforation is diagnosed and treated, the better the chances of recoveryoutcome.

In our case, laparoscopic vesicorrhaphy was performed due to intraperitoneal bladder perforation. No incidents. After the intervention, the patient evolved satisfactorily, remaining afebrile, in good general condition was repaired laparoscopically and with clear urine. Good-looking surgical wounds. The patient presented adequate oral tolerance and positive stools during admission, with improvement in abdominal distensionrecovery was uneventful.

UrinaryThe urinary catheter whose tip extends greatly beyond the walls ofpenetrates through the bladder dome, associated with an area of and is surrounded by fluid and inflammatory changes in the fat surrounding the distal end of the catheter, with some associated liquid band. With these findings, we decide to administer contrastfat-stranding.

Contrast medium was injected through the urinary catheter, confirming that there is an outflow ofbladder perforation. Contrast medium fills the contrast inbladder and flows around the described inflammatory area, which extends towardscatheter tip to the peritoneal cavity, visualizing interloop outlining bowel loops and extending into the left paracolic recess contrastgutter.

Therefore, there is a discontinuity solution in the bladder dome, related to the tip of the catheter, confirming leakage of the contrast administered through it into the peritoneal cavityIncidental rectosigmoid “faecaloma”.