Urinary bladder injuries during vascular surgery.
Urologic complications related to vascular surgery involving the ureter have been well recognized. These include ureteral compression from aneurysms, congenital anomalies such as retrocaval ureter, obstruction from retroperitoneal fibrosis, iatrogenic injury, and ureteric fistulas. Complications involving the bladder are more infrequent. Most of these bladder-related complications involve the use of tunneling devices for synthetic bypass grafts. We report an unusual case of a transvesically placed femoral-femoral bypass graft with delayed presentation. We also reviewed the English literature for experience with diagnosis and treatment of bladder injuries during vascular surgical procedures.
Nakamura
Leah Y
LY
Department of Urology, Mayo Clinic Arizona, Phoenix, Ariz 85054, USA. nakamura.leah@mayo.edu
Ferrigni
Robert G
RG
Stone
William M
WM
Fowl
Richard J
RJ
D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D003251:Constriction, Pathologic; D020878:Device Removal; D053159:Dysuria / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D013293:Enterococcus faecalis / Q000302:isolation & purification; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D006801:Humans; D007049:Iatrogenic Disease; D007083:Iliac Artery / Q000601:surgery*; D033162:Incidental Findings; D007383:Intermittent Claudication / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation; D012501:Saphenous Vein / Q000637:transplantation; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000000981:diagnostic imaging / Q000293:injuries*; D014552:Urinary Tract Infections / Q000209:etiology* / Q000382:microbiology / Q000628:therapy
D000900:Anti-Bacterial Agents