Open AccessPlausible mechanism of small bowel injury during trocar cystostomy
Author(s) -
Sudhanshu Chitale,
Stuart Irving
Publication year - 2010
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr.06.2009.1968
Subject(s) - medicine , suprapubic cystostomy , urinary retention , cystostomy , surgery , complication , urinary bladder , anesthesia , colostomy , general anaesthesia , urethra
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.