Management of delayed bladder augmentation perforation

Winifred Adams1, Linda M Dairiki Shortliffe

  • 1Stanford University Medical Center, Palo Alto, CA, USA.

Insights

A 17-year-old male with a history of bladder augmentation enterocystoplasty experienced acute abdomen due to perforation. Prompt surgical repair and supportive care were crucial for recovery.

Area of Science:

  • Urology
  • Surgical Innovation
  • Pediatric Surgery

Background:

  • A 17-year-old male with a history of bladder augmentation enterocystoplasty presented with symptoms of acute abdomen.
  • This case highlights a rare but serious complication following bladder augmentation surgery.

Observation:

  • The patient presented with nausea, emesis, and acute abdominal pain.
  • Diagnostic investigations included physical examination, blood and urine cultures, and CT cystography.

Findings:

  • The diagnosis was acute abdomen secondary to perforation of the bladder augmentation.
  • The perforation required immediate surgical intervention.

Implications:

  • This case underscores the importance of vigilant monitoring for complications after bladder augmentation.
  • Timely diagnosis and surgical management are critical for favorable outcomes in bladder augmentation complications.
Abstract

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