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.

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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


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