Intravesical herniation of small bowel after bladder perforation.
Intravesical small bowel herniation is a rare complication of bladder perforation, with only 1 case reported previously. We describe 2 additional patients in whom the diagnosis of bladder perforation was delayed or made difficult because the herniated small bowel presented as a filling defect without significant extravasation of contrast medium on cystography. In both patients additional investigative procedures were necessary to establish the diagnosis preoperatively.
Oesterling
J E
JE
Department of Urology, Johns Hopkins University School of Medicine, Baltimore, Maryland 21205.
Goldman
S M
SM
Lowe
F C
FC
D000058:Accidental Falls; D000328:Adult; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000000981:diagnostic imaging; D005260:Female; D006547:Hernia / Q000175:diagnosis / Q000209:etiology / Q000473:pathology; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects; D007410:Intestinal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D007421:Intestine, Small; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000473:pathology; D011859:Radiography; D012421:Rupture; D001743:Urinary Bladder / Q000000981:diagnostic imaging / Q000293:injuries*