An unusual complication to transurethral resection of the prostate. A case report

During a transurethral resection of the prostate, performed in epidural anaesthesia, a 77-year-old man developed dyspnoea and distension of the lower abdomen. Acute cystostomy revealed a large bladder diverticulum containing 2 liters of irrigating fluid together with some tissue chips and 3 small bladder tumours. The tissue chips functioned as a stop valve only permitting entrance of fluid. In the absence of preoperative radiological examination of the urinary bladder meticulous cystoscopic examination of every tiny opening in the bladder is mandatory.