Case reported for iatrogenic cystectomy during cesarean delivery
Muhammad Alahmadi1, Abdullah Ahmed Ghazi2
1Ohoud Hospital, Ministry of Health, Madinah, Saudi Arabia.
Urology Case Reports
|May 9, 2020
Summary
Bladder injury during cesarean delivery (CD) is rising. This case details managing an inadvertent cystectomy during emergency CD with hysterectomy, followed by reconstructive surgery.
Area of Science:
- Urology
- Obstetrics & Gynecology
- Surgical Case Report
Background:
- Cesarean delivery (CD) rates are increasing, leading to a rise in associated complications.
- Bladder injury, though rare, is a potential risk during cesarean delivery.
- Prompt recognition and management are crucial for optimal patient outcomes.
Observation:
- A 28-year-old woman presented during labor with complications necessitating emergency cesarean delivery and hysterectomy.
- An inadvertent cystectomy (bladder removal) occurred during the procedure.
- Immediate ureterostomy was performed for urine diversion.
Findings:
- The patient underwent a complex reconstructive surgery five months post-hysterectomy.
- Procedures included augmentation ileocytoplasty, bilateral ureteral re-implantation, and abdominal catheterizable stoma formation.
- This case demonstrates a successful multi-stage surgical approach to managing inadvertent cystectomy.
Implications:
- Highlights the importance of meticulous surgical technique during cesarean delivery to prevent bladder injury.
- Underscores the feasibility of complex reconstructive urological procedures following cesarean-related bladder trauma.
- Provides a valuable case study for surgeons managing rare but severe intraoperative complications during cesarean delivery.
