Small Bowel Perforation during Suprapubic Trocar Cystotomy: A Case Report.
A 35 years old man presented with retention of urine secondary to meatal stenosis with bulbar urethral stricture. He had a distended, palpable, tender urinary bladder. Urethral catheterization and dilatation was tried but failed. A trocar cystostomy was performed under local anaesthesia, which led to the injury to the small bowel when least expected. This is a rare but well recognized complication of small bowel injury following blind trocar suprapubic cystostomy when it was least expected and as such had a significant bearing on its management. We discuss its subsequent management and possible mechanism underlying this unexpected and unfortunate complication in the given circumstances.
Dr Md Shafiqul Islam, Senior Consultant Surgery, Mymensingh Medical College & Hospital (MMCH), Mymensingh, Bangladesh.
M S
MS
Islam
M S
MS
Islam
N
N
Biswas
M S
MS
Malek
M J
MJ
Hussain
S K
SK
Sarkar
M A
MA
Uddin
D000328:Adult; D001459:Bangladesh; D003559:Cystostomy / Q000009:adverse effects* / Q000295:instrumentation; D003937:Diagnosis, Differential; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D007421:Intestine, Small / Q000293:injuries*; D008297:Male; D016896:Treatment Outcome; D014525:Urethral Stricture / Q000601:surgery