Urinary ascites secondary to delayed diagnosis of laparoscopic bladder injury.
We present a case of urinary ascites in a young woman secondary to unrecognized bladder injury during gynaecologic laparoscopic surgery. Delayed diagnosis occurred due to the absence of expected changes in serum biochemistry, which made the diagnosis of urinoma less likely. High suspicion of bladder injury following laparoscopic surgery should be present in patients with ill-defined symptoms even if no biochemical changes are seen. The case demonstrates important points in relation to the consequences of delayed diagnosis as well as overview on detection and prevention of such injury.
Al-Mandeel
Hazem
H
Department of Obstetrics and Gynecology, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
Qassem
Abeer
A
Obstet Gynecol Surv. 1998 Mar;53(3):175-80
9513988
Pathology. 2004 Apr;36(2):193-5
15203757
Surg Laparosc Endosc Percutan Tech. 2008 Jun;18(3):301-3
18574423
Arch Gynecol Obstet. 2008 Jan;277(1):65-6
17619890
Urology. 1994 Sep;44(3):441-3
8073563
J Minim Invasive Gynecol. 2009 Mar-Apr;16(2):195-7
19138575
Aust N Z J Obstet Gynaecol. 2005 Oct;45(5):380-3
16171472
J Am Assoc Gynecol Laparosc. 2001 May;8(2):285-90
11342739
J Am Assoc Gynecol Laparosc. 2000 Aug;7(3):417-9
10924641
Anaesth Intensive Care. 2003 Apr;31(2):211-3
12712789
Int J Gynaecol Obstet. 1996 Dec;55(3):297-8
9003958