Small Bowel Perforation during Suprapubic Trocar Cystotomy: A Case Report
Islam, M.S.; Islam, M.S.; Biswas, N.; Malek, M.S.; Hussain, M.J.; Sarkar, S.K.; Uddin, M.A.
Mymensingh Medical Journal Mmj 25(2): 359-362
2016
ISSN/ISBN: 1022-4742 PMID: 27277372 Document Number: 689427
A 35 years old man presented with retention of urine secondary to meatal stenosis with bulbar urethral stricture. He had a distended, palpable, tender urinary bladder. Urethral catheterization and dilatation was tried but failed. A trocar cystostomy was performed under local anaesthesia, which led to the injury to the small bowel when least expected. This is a rare but well recognized complication of small bowel injury following blind trocar suprapubic cystostomy when it was least expected and as such had a significant bearing on its management. We discuss its subsequent management and possible mechanism underlying this unexpected and unfortunate complication in the given circumstances.