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Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
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Subcutaneous emphysema following cystoscopic clot evacuation
Madeline Cancian1, Joseph Brito, Vincent Harisaran
1Department of Urology, Alpert Medical School of Brown University, Providence, Rhode Island, USA.
The Canadian Journal of Urology
|December 21, 2017
Summary
Gross hematuria often requires surgical clot evacuation. A rare complication, subcutaneous emphysema from bladder perforation, can occur. Stop procedures if crepitus is detected to prevent serious issues.
Area of Science:
- Urology
- Surgical Complications
Background:
- Gross hematuria is a frequent urologic issue necessitating surgical intervention.
- Clot evacuation, though generally safe, carries risks of severe complications.
Observation:
- An 85-year-old male experienced extensive subcutaneous emphysema after a minor extraperitoneal bladder perforation during clot evacuation.
Findings:
- The patient recovered with conservative management.
- Subcutaneous emphysema is a potential, serious complication of endourologic procedures.
Implications:
- Recognition of subcutaneous emphysema is crucial for patient safety.
- Endourologic procedures should be immediately halted upon detecting crepitus to mitigate risks.
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