Enterovesical Herniation: A Rare Complication After Transurethral Resection of Bladder Tumor

Enterovesical herniation through an acquired bladder wall defect after transurethral resection is an exceedingly rare complication. Small bladder perforations may go unrecognized after transurethral resection as adherent bowel loops seal the defect. We present a very rare case of internal herniation of both small bowel and sigmoid colon into the urinary bladder following transurethral resection of a bladder tumor. Magnetic resonance imaging revealed herniation of bowel loops into the lumen of the urinary bladder through a defect in the dome. On exploratory laparotomy, internal herniation of the ileum and sigmoid colon through a defect in the superior wall of the urinary bladder was found.

Enterovezikal Herniasyon: Mesane Tümörü Transüretral Rezeksiyonu Sonrası Nadir Görülen Bir Komplikasyon

Transüretral rezeksiyon sonrası gelişen mesane duvar defekti ile ilişkili enterovezikal herniasyon, son derece nadir görülen bir komplikasyondur. Transüretral rezeksiyon sonrası küçük mesane perforasyonları, yapışık barsak anslarının defekti kapatması nedeniyle tanınamayabilir. Bu çalışmada, bir mesane tümörünün transüretral rezeksiyonunu takiben mesane içine hem ince barsak hem de sigmoid kolonun internal herniasyonuna dair çok nadir bir olgu sunulmuştur. Kubbedeki bir defekt üzerinden barsak anslarının mesane lümenine doğru herniasyonu manyetik rezonans görüntüleme ile görüntülendi. Laparotomi araştırmasında, mesane üst duvarındaki bir defektten ileum ve sigmoid kolonun internal herniasyonu saptandı.

Kaynakça

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Kaynak Göster

  • ISSN: 2148-9580
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2014

2.1b 1.5b

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