[Intestinal obstruction secondary to peritoneal carcinomatosis after iatrogenic perforation during TUR for transitional cell carcinoma of the bladder].
OBJECTIVE
A case of intestinal obstruction following transurethral resection (TUR) of a locally advanced transitional cell carcinoma of the bladder is presented.


RESULTS
The unique features of the present case are described. Laparotomy was performed and peritoneal carcinomatosis was found. Renal function became impaired and the abdominal condition persisted. The patient died five days postoperatively.


CONCLUSIONS
Intestinal obstruction following TUR of transitional cell carcinoma of the bladder is an uncommon complication that is mainly due to peritoneal seeding following iatrogenic perforation of the tumor or the bladder wall during resection. Still, TUR is undeniably useful in the diagnosis, staging and treatment of bladder neoplasm.
de la Cruz Ruiz
M
M
Servicio de Urología, Hospital Clínico Universitario de Valladolid, España.
Rivero Martínez
M D
MD
Fernández Domínguez
L
L
Egea Camacho
J
J
Cortiñas González
J R
JR
Rivera Ferro
J
J
Fernández del Busto
E
E
D002295:Carcinoma, Transitional Cell / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000150:complications*; D010534:Peritoneal Neoplasms / Q000150:complications*; D011183:Postoperative Complications / Q000209:etiology*; D001749:Urinary Bladder Neoplasms / Q000601:surgery*