Management of Iatrogenic Bladder Injury due to Vascular Surgery: Case Report and Literature Review

Claudio Vincenzoni; Simona Sica; Marco Natola; Emilio Sacco; Angelo Totaro; Pierfrancesco Bassi; Yamume Tshomba

doi:10.1016/j.avsg.2019.02.045

Management of Iatrogenic Bladder Injury due to Vascular Surgery: Case Report and Literature Review

Claudio Vincenzoni, Simona Sica, Marco Natola, Emilio Sacco, Angelo Totaro, Pierfrancesco Bassi, Yamume Tshomba

Research output: Contribution to journal › Article

Abstract

We report an unusual case of a 53-year-old male patient, previously undergone an extra-anatomic right-to-left iliofemoral bypass graft, who has developed gross hematuria after 4 months. The cystoscopic examination revealed a wall injury due to the presence of the graft crossing the bladder. Iatrogenic bladder injuries during vascular surgery are extremely rare. In the literature, only 11 cases of transvesical graft are reported. The complication has been resolved with the removal of the misplaced graft and the reconstruction of the bypass with silver-coated Dacron prosthesis. Despite the rarity of this complication, postoperative ultrasound of the bladder is recommended to timely detect any injury and adopt a correct surgical strategy.

Original language	English
Pages (from-to)	307-307.e16
Journal	Annals of Vascular Surgery
Volume	59
DOIs	https://doi.org/10.1016/j.avsg.2019.02.045
Publication status	Published - 2019

Keywords

Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation
Computed Tomography Angiography
Cystoscopy
Device Removal
Foreign-Body Migration
Hematuria
Humans
Iatrogenic Disease
Male
Middle Aged
Peripheral Arterial Disease
Polyethylene Terephthalates
Prosthesis Design
Treatment Outcome
Urinary Bladder

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10.1016/j.avsg.2019.02.045

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title = "Management of Iatrogenic Bladder Injury due to Vascular Surgery: Case Report and Literature Review",

abstract = "We report an unusual case of a 53-year-old male patient, previously undergone an extra-anatomic right-to-left iliofemoral bypass graft, who has developed gross hematuria after 4 months. The cystoscopic examination revealed a wall injury due to the presence of the graft crossing the bladder. Iatrogenic bladder injuries during vascular surgery are extremely rare. In the literature, only 11 cases of transvesical graft are reported. The complication has been resolved with the removal of the misplaced graft and the reconstruction of the bypass with silver-coated Dacron prosthesis. Despite the rarity of this complication, postoperative ultrasound of the bladder is recommended to timely detect any injury and adopt a correct surgical strategy.",

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author = "Claudio Vincenzoni and Simona Sica and Marco Natola and Emilio Sacco and Angelo Totaro and Pierfrancesco Bassi and Yamume Tshomba",

year = "2019",

doi = "10.1016/j.avsg.2019.02.045",

language = "English",

volume = "59",

pages = "307--307.e16",

journal = "Annals of Vascular Surgery",

issn = "0890-5096",

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T1 - Management of Iatrogenic Bladder Injury due to Vascular Surgery: Case Report and Literature Review

AU - Vincenzoni, Claudio

AU - Sica, Simona

AU - Natola, Marco

AU - Sacco, Emilio

AU - Totaro, Angelo

AU - Bassi, Pierfrancesco

AU - Tshomba, Yamume

PY - 2019

Y1 - 2019

N2 - We report an unusual case of a 53-year-old male patient, previously undergone an extra-anatomic right-to-left iliofemoral bypass graft, who has developed gross hematuria after 4 months. The cystoscopic examination revealed a wall injury due to the presence of the graft crossing the bladder. Iatrogenic bladder injuries during vascular surgery are extremely rare. In the literature, only 11 cases of transvesical graft are reported. The complication has been resolved with the removal of the misplaced graft and the reconstruction of the bypass with silver-coated Dacron prosthesis. Despite the rarity of this complication, postoperative ultrasound of the bladder is recommended to timely detect any injury and adopt a correct surgical strategy.

AB - We report an unusual case of a 53-year-old male patient, previously undergone an extra-anatomic right-to-left iliofemoral bypass graft, who has developed gross hematuria after 4 months. The cystoscopic examination revealed a wall injury due to the presence of the graft crossing the bladder. Iatrogenic bladder injuries during vascular surgery are extremely rare. In the literature, only 11 cases of transvesical graft are reported. The complication has been resolved with the removal of the misplaced graft and the reconstruction of the bypass with silver-coated Dacron prosthesis. Despite the rarity of this complication, postoperative ultrasound of the bladder is recommended to timely detect any injury and adopt a correct surgical strategy.

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KW - Computed Tomography Angiography

KW - Cystoscopy

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KW - Foreign-Body Migration

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KW - Middle Aged

KW - Peripheral Arterial Disease

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KW - Treatment Outcome

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KW - Device Removal

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KW - Hematuria

KW - Humans

KW - Iatrogenic Disease

KW - Male

KW - Middle Aged

KW - Peripheral Arterial Disease

KW - Polyethylene Terephthalates

KW - Prosthesis Design

KW - Treatment Outcome

KW - Urinary Bladder

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SP - 307-307.e16

JO - Annals of Vascular Surgery

JF - Annals of Vascular Surgery

ER -

Management of Iatrogenic Bladder Injury due to Vascular Surgery: Case Report and Literature Review

Abstract

Keywords

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