Successful treatment for bladder rupture after explosion during transurethral resection of prostate: a case report


Successful treatment for bladder rupture after explosion during transurethral resection of prostate: a case report


Marco Antonio Cardoso de Resende1, Luma de Siqueira Castro2, Larissa Verônica Kamarowski 2, Tiago Ribeiro Ninis de Souza3, Alberto Vieira Pantoja2, Rogério Luiz da Rocha Videira1, Alexandra Rezende Assad1

1Associate Professor, M.D. Ph.D, Anesthesiologist, Department of Surgery, School of Medicine, Fluminense Federal University, Niterói, RJ, Brazil. 2Anesthesiologist, Hospital Universitário Antonio Pedro, Fluminense Federal University, Niterói, RJ, Brazil. 3Urologist, Hospital Universitário Antonio Pedro, Fluminense Federal University Niterói, RJ, Brazil.


Extra or intraperitoneal bladder explosion is a rare complication of transurethral resection of the prostate (TURP) or bladder tumor resection associated with high morbidity. There were just over 25 reports of bladder explosion described in the literature until 2015. We report the case of a 56-year-old black man, diagnosed with prostatic adenocarcinoma and scheduled for tunneling by transurethral resection of prostate (TURP). His medical history included diabetes mellitus, hypertension, retinopathy with bilateral amaurosis, ischemic stroke, and myocardial infarction. He was successfully submitted to a continuous spinal technique and sedation. During the hemostatic phase of the procedure, a loud “pop sound” was heard in the operating room and the patient presented sudden arterial hypotension and abdominal distention. An exploratory laparotomy was done to manage the bladder explosion. The adequate resolution of this adverse event requires awareness and high clinical suspicion for prompt intervention.


Keywords: Bladder explosion, Continuous spinal anesthesia, Transurethral resection of prostate, Complications.

Free Full-text PDF


How to cite this article:

Marco Antonio Cardoso de Resende, Luma de Siqueira Castro, Larissa Verônica Kamarowski, Tiago Ribeiro Ninis de Souza, Alberto Vieira Pantoja, Rogério Luiz da Rocha Videira, Alexandra Rezende Assad. SubcSuccessful treatment for bladder rupture after explosion during transurethral resection of prostate: a case report. International Journal of Case Reports, 2021, 5:247. DOI: 10.28933/ijcr-2021-10-1605


References:

1. Pathak A, Singh M, Ramappa A, Jain S, Rasool S, Kaswan RS and Patel B. “Intravesical explo-sion during transurethral resection of prostate: Prevention and management”. Urol Ann. 2018; 10(1):111-113.
2. Horger DC, Babanoury A. Intravesical explosion during transurethral resection of bladder tumours. J Urol. 2004;172:1813.
3. Hirai E, Tokumine J, Lefor AK, Ogura, S, Ka-wamata M. “Bladder explosion during tran-surethral resection of the prostate with nitrous oxide inhalation”. Case Rep Anesthesiol. 2015; 2015:464562.
4. Viville C, de Petriconi R, Bietho L. Intravesical explosion during endoscopic resection. Apro-pos of a case. J Urol. (Paris) 1984;90:361–3.
5. Lo IS, Huang TY. Bladder explosion, a rare complication following transurethral resection of the prostate. BMJ Case Rep. 2016; Nov 22; 2016:bcr2016215858.
6. López MM, Guascha E, Schiraldia R, et al. Con-tinuous spinal anaesthesia with minimally inva-sive haemodynamic monitoring for surgical hip repair in two patients with severe aortic stenosis. Braz J Anesthesiol. 2016; 66(1):82–85.
7. Minville V, Fourcade O, Grousset D, Chassery C, Nguyen L, Asehnoune K, Colombani A, Goul-mamineet L, Samii K. Spinal Anesthesia using single injection small-dose bupivacaine versus continuous catheter injection for surgical repair of hip fracture in elderly patients. Anesth Analg. 2016; 102 (5) :1559-1563.
8. Beh ZY, Yong PSA, Lye S, Eapen SE, Yoong CS, Woon KL and Lim JGC. “Continuous spinal anaesthesia: A retrospective analysis of 318 cases”. Indian Journal of Anaesthesia, 2018; 62 (10): 765-772.


Terms of Use/Privacy Policy/ Disclaimer/ Other Policies:
You agree that by using our site, you have read, understood, and agreed to be bound by all of our terms of use/privacy policy/ disclaimer/ other policies (click here for details).



This work and its PDF file(s) are licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.