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Small Bowel Perforation during Suprapubic Trocar Cystotomy: A Case Report.
M S Islam1, M S Islam, N Biswas
1Dr Md Shafiqul Islam, Senior Consultant Surgery, Mymensingh Medical College & Hospital (MMCH), Mymensingh, Bangladesh.
A rare complication occurred during a trocar cystostomy for urinary retention due to meatal stenosis and bulbar urethral stricture. Blind suprapubic cystostomy unexpectedly injured the small bowel, impacting patient management.
Area of Science:
- Urology
- Surgical Complications
- Gastrointestinal Surgery
Background:
- Urinary retention in a 35-year-old male caused by meatal stenosis and bulbar urethral stricture.
- Initial attempts at urethral catheterization and dilatation were unsuccessful.
Observation:
- A distended, palpable, and tender urinary bladder was noted.
- Trocar cystostomy was performed under local anesthesia due to failed catheterization.
Findings:
- Unexpected small bowel injury occurred during the blind trocar suprapubic cystostomy.
- This rare complication significantly influenced the patient's subsequent management.
Implications:
- Highlights the risks associated with blind trocar suprapubic cystostomy.
- Emphasizes the need for careful consideration of potential gastrointestinal injury.
- Discusses management strategies for this specific complication.
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