title: Intravesical fat entrapment as a cause of failure of extraperitoneal bladder perforation to heal spontaneously.
abstract: We report a case of intravesical fat entrapment leading to failure of extraperitoneal bladder perforation to heal spontaneously. A 68-year-old woman underwent trans-abdominal hysterectomy complicated by an extraperitoneal bladder perforation. Despite prolonged catheterization, cystographic leakage persisted after 3 months. Bladder imaging and cystoscopy demonstrated a mass of perivesical pelvic fat protruding into the bladder cavity. The patient was symptomatic with pain and persistent urinary tract infection with episodes of sepsis. A transurethral resection of the mass was performed which led to bladder healing and resolution of symptoms.
authors: Department of Nephrology, Austin Health, Heidelberg, Victoria, 3084, Australia.
authors: Andy K H
authors: AK
authors: Lim
authors: Lydia G
authors: LG
authors: Johns Putra
authors: Andrew J
authors: AJ
authors: Troy
authors: Francesco L
authors: FL
authors: Ierino
mesh_terms: D000273:Adipose Tissue / Q000000981:diagnostic imaging / Q000382:microbiology; D000368:Aged; D001964:Bromhexine; D003558:Cystoscopy; D004322:Drainage; D016889:Endometrial Neoplasms / Q000601:surgery; D005260:Female; D006417:Hematuria / Q000209:etiology; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D011552:Pseudomonas Infections / Q000150:complications; D012008:Recurrence; D014463:Ultrasonography; D001743:Urinary Bladder / Q000293:injuries*; D014546:Urinary Catheterization; D014945:Wound Healing
chemical_list: D001964:Bromhexine