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[Foreign body in the urinary bladder after vascular surgery]
1Urologische und Chirurgische Universitätsklinik, Klinikum Mannheim gGmbH, Fakultät für Klinische Medizin Mannheim der Ruprecht-Karls-Universität Heidelberg. axel.haecker@chir.ma.uni-heidelberg.de
Aktuelle Urologie
|July 8, 2005
Summary
A rare complication of femorofemoral bypass surgery occurred when a graft was placed through the urinary bladder. Early diagnosis via cystoscopy is crucial for managing this rare vascular surgery complication.
Area of Science:
- Vascular Surgery
- Urology
Background:
- Femorofemoral bypass surgery is a common procedure for peripheral artery disease.
- Rare complications can arise, necessitating careful surgical technique and postoperative monitoring.
Observation:
- A 61-year-old male patient developed macrohematuria and dysuria after femorofemoral bypass.
- Cystoscopy revealed an intravesical bypass graft, a rare surgical misplacement.
- The patient underwent successful extravesical relocation of the graft.
Findings:
- The misplaced graft was functional and well-perfused.
- Post-relocation, the patient experienced resolution of urological symptoms.
- Long-term follow-up confirmed the bypass's continued function.
Implications:
- Vigilance for intravesical graft placement is essential in vascular surgery near the bladder.
- Macrohematuria or dysuria post-surgery warrants investigation for misplaced bypass grafts.
- Prompt diagnosis and intervention can lead to favorable outcomes for rare surgical complications.