Thermal injury causing delayed perforation of small bowel after transurethral resection of bladder tumor without evidence of bladder perforation

Nitya E. Abraham, Ronald Simon, Ojas Shah

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Risk of thermal injury to the bowel when utilizing electrocautery at the bladder dome has been reported anecdotally. This is a case report of a 64-year-old man with urothelial carcinoma in situ of the bladder who underwent transurethral resection of bladder tumor at the posterior bladder wall near the dome without evidence of perforation. The postoperative course was complicated by delayed small bowel perforation likely secondary to transmission of thermal energy during fulguration of the resection bed. This injury highlights the need for particular prudence when resecting and fulgurating bladder tumors using monopolar electrocautery, specifically in the regions adjacent to bowel.

Original languageEnglish (US)
Pages (from-to)5836-5838
Number of pages3
JournalCanadian Journal of Urology
Volume18
Issue number4
StatePublished - Aug 1 2011
Externally publishedYes

Keywords

  • Postoperative complication
  • Transurethral resection bladder tumor
  • Urothelial carcinoma of the bladder

ASJC Scopus subject areas

  • Urology

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