title: Plausible mechanism of small bowel injury during trocar cystostomy.
abstract: An 86-year-old man presented with urinary retention secondary to detrusor failure and bulbar urethral stricture. He had a non-tender, palpable, grossly distended bladder and a very poor tone in the muscles of the abdominal wall. He did not allow urethral or suprapubic catheterisation under local anaesthesia; hence, a trocar cystostomy was performed under a short general anaesthesia, which led to injury to the small bowel when least expected. We discuss its subsequent management and plausible mechanism underlying this unexpected complication in the given circumstances.
authors.affiliation: Norfolk & Norwich University Hospital NHS Trust, Urology, Colney Lane, Norwich Norfolk NR4 7UY, UK.
authors.forename: Sudhanshu
authors.initials: S
authors.lastname: Chitale
authors.forename: Stuart
authors.initials: S
authors.lastname: Irving