Intra-abdominal abscess due to patient non-compliance after construction of an ileal neobladder: case report and review of the literature.
OBJECTIVE
A case report of patient with an intra-abdominal abscess 8 weeks after radical cystectomy and construction of an ileal neobladder is presented.


RESULTS
The patient was admitted with nausea, vomiting and singultus. A perforation of the neobladder due to overdistension was assumed to be the underlying cause of the intra-abdominal abscess formation as the patient admitted infrequent voiding during the day and no emptying of the neobladder at night. The patient underwent explorative laparotomy and 4200 mL of pus was removed from the abdominal cavity. The patient made an uneventful recovery and was discharged from hospital after 5 weeks. Neobladder function remained stable and the patient was leading a normal life at 24 months follow-up.


CONCLUSIONS
The present case demonstrates the need for careful patient selection prior to radical cystectomy with continent urinary diversion. Reduced compliance and mental disabilities of a patient can increase the complication rate.
Doehn
C
C
Department of Urology, Medical University of Lübeck, Germany. doehn@medinf.mu-luebeck.de
Böhle
A
A
Jocham
D
D
D018784:Abdominal Abscess / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D000328:Adult; D000900:Anti-Bacterial Agents; D002295:Carcinoma, Transitional Cell / Q000601:surgery; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum; D007813:Laparotomy; D008297:Male; D011860:Radiography, Abdominal; D014057:Tomography, X-Ray Computed; D016312:Treatment Refusal; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014547:Urinary Diversion / Q000009:adverse effects*
D000900:Anti-Bacterial Agents