[Foreign body in the urinary bladder after vascular surgery].
BACKGROUND
We are presenting a rare complication after femorofemoral bypass surgery.


METHODS
In a 61-year-old male patient, a femorofemoral crossover bypass graft was inadvertently placed through the urinary bladder. Postoperatively, the patient developed macrohematuria, which cleared spontaneously. The diagnosis of an intravesical graft was made 3 months after surgery by cystoscopy performed because of dysuria. The patient underwent open bladder surgery 7 months later as he refused earlier intervention. The misplaced graft, which was not infected and showed good function and perfusion, was extravesically relocated. At a 16-month follow-up examination, the patient is free of urological symptoms and the bypass functions well.


CONCLUSIONS
In case of dysuria or macrohematuria after vascular surgery in the vicinity of the urinary bladder, a misplaced bypass should be excluded.
Urologische und Chirurgische Universitätsklinik, Klinikum Mannheim gGmbH, Fakultät für Klinische Medizin Mannheim der Ruprecht-Karls-Universität Heidelberg. axel.haecker@chir.ma.uni-heidelberg.de
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A
Häcker
Z
Z
Uysal
K
K
Badawi
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S
Langbein
S
S
Kamp
M
M
Hatzinger
P
P
Alken
M S
MS
Michel
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S
Freudenberg
D000714:Anastomosis, Surgical; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005263:Femoral Artery / Q000601:surgery*; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000175:diagnosis* / Q000601:surgery; D005548:Foreign-Body Migration / Q000175:diagnosis* / Q000601:surgery; D006417:Hematuria / Q000209:etiology; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis*; D012086:Reoperation; D001743:Urinary Bladder / Q000293:injuries; D014555:Urination Disorders / Q000209:etiology