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Intravesical herniation of small bowel after bladder perforation
J E Oesterling1, S M Goldman, F C Lowe
1Department of Urology, Johns Hopkins University School of Medicine, Baltimore, Maryland 21205.
The Journal of Urology
|November 1, 1987
Summary
Intravesical small bowel herniation is a rare bladder perforation complication. Diagnosing bladder perforation can be challenging due to small bowel filling defects on cystography, requiring further tests.
Area of Science:
- Urology
- Radiology
- Surgical Complications
Background:
- Intravesical small bowel herniation is an exceedingly rare complication following bladder perforation.
- Previous literature documented only a single reported case of this condition.
Observation:
- This report details two patients experiencing delayed or difficult diagnoses of bladder perforation.
- The herniated small bowel mimicked a filling defect on cystography, obscuring significant contrast medium extravasation.
Findings:
- Delayed diagnosis of bladder perforation occurred in both presented cases.
- Standard cystography was insufficient for definitive diagnosis due to the atypical presentation of herniated bowel.
- Additional diagnostic imaging modalities were required to confirm the bladder perforation preoperatively.
Implications:
- Highlights the diagnostic challenges posed by intravesical small bowel herniation.
- Underscores the need for advanced imaging techniques when cystography is inconclusive for bladder perforation.
- Contributes to the limited understanding of this rare surgical complication and informs diagnostic strategies.