Conservative Management of Intraperitoneal Bladder Injury During the Transurethral Resection of a Bladder Tumor: A Case Report

TL;DR

This case report discusses the conservative management of an intraperitoneal bladder injury during a bladder tumor resection, highlighting the potential for non-surgical treatment.

Contribution

The paper contributes a case where conservative methods were used for an intraperitoneal bladder injury, which is not yet a standard practice.

Findings

An intraperitoneal bladder injury occurred during a transurethral resection of a bladder tumor.

Conservative management, including drainage and monitoring, was used successfully in this case.

The case supports further exploration of non-surgical approaches for such injuries.

Abstract

Bladder injury can be intraperitoneal or extraperitoneal due to multiple mechanisms, with surgical repair as the mainstream management in intraperitoneal injuries. We present a case of iatrogenic intraperitoneal bladder injury during transurethral resection of a bladder tumor located in the superior bladder wall. Many cases reported the role of conservative management of intraperitoneal injuries that included intraperitoneal drain, urethral catheterization, and continued monitoring of vital signs and serial abdominal examination. Still, conservative management of intraperitoneal bladder injury is not established yet, with a clinically accepted role in many cases reported.

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