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 journalArticle


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 languageEnglish
Pages (from-to)307-307.e16
JournalAnnals of Vascular Surgery
Publication statusPublished - 2019


  • 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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