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Urinary Bladder Injury During Colonoscopy Without Colon Perforation.

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Area of Science:

  • Gastroenterology
  • Urology
  • Surgical Case Report

Background:

  • Colonoscopy is a common screening procedure.
  • Previous abdominal surgery, such as hysterectomy, can lead to adhesions.
  • Adhesions may increase the risk of iatrogenic injury during endoscopic procedures.

Purpose of the Study:

  • To report a rare case of urinary bladder perforation during colonoscopy.
  • To highlight the potential complications of colonoscopy in patients with a history of abdominal surgery.
  • To discuss the management of colonoscopic injuries in the presence of adhesions.

Main Methods:

  • A case report of a 67-year-old female patient.
  • Patient presented with abdominal pain post-colonoscopy.
  • Diagnostic laparoscopy revealed sigmoid colon-urinary bladder adhesions and bladder perforation.
  • Surgical intervention involved laparotomy with primary bladder repair and omentopexy.

Main Results:

  • Severe adhesions between the sigmoid colon and urinary bladder were identified.
  • Multiple sites of urinary bladder perforation were confirmed.
  • Successful primary repair of the bladder perforations was achieved.
  • Omentopexy was performed as an adjunct procedure.

Conclusions:

  • Urinary bladder perforation is a rare but serious complication of colonoscopy.
  • A history of abdominal surgery increases the risk of iatrogenic injury due to adhesions.
  • Prompt surgical intervention is crucial for managing bladder perforation secondary to colonoscopy.
  • Careful patient selection and procedural technique are important in high-risk patients.