Urinary ascites in late onset of bladder injury post laparoscopic hysterectomy

Authors

Josette C. Dawkins, Rochester Regional HealthFollow
Gregory K. Lewis, Rochester Regional HealthFollow
Benjamin Christensen, Rochester Regional HealthFollow
Morris Wortman, Department of Obstetrics and Gynecology, University of Rochester School of Medicine, Center for Menstrual Disorders, Rochester, NY, USA.

Department

OB/GYN

Document Type

Article

Publication Title

Case Reports In Women's Health

Abstract

Urinary tract injuries are unfortunate complications of pelvic surgery. With the increasing popularity of minimally invasive surgery, a thorough understanding of electrosurgical instrumentation and their thermal spread is important to reduce patient injuries. The index patient was a 50 year old woman who underwent a supracervical hysterectomy 5 years prior to her presentation with pelvic pain and dysuria. When her symptoms failed to improve despite antibiotic and analgesic therapy, an abdominal CT scan revealed an ovarian cyst and ascites. A subsequent laparoscopy disclosed the presence of a bladder fistula and a diagnosis of urinary ascites was made. The patient then underwent a subsequent bladder fistula repair. Vesicoperitoneal fistulae (VPF) are rare and should be included in the differential diagnosis of the patient with acute onset ascites following gynecologic surgery. This case is the first case report of a VPF occurring 5 years following surgery.

First Page

8

Last Page

10

DOI

10.1016/j.crwh.2017.09.001

Volume

16

Publication Date

9-22-2017

PubMed ID

29594001

Recommended Citation

Dawkins, J. C., Lewis, G. K., Christensen, B., & Wortman, M. (2017). Urinary ascites in late onset of bladder injury post laparoscopic hysterectomy. Case Reports In Women's Health, 16, 8-10. https://doi.org/10.1016/j.crwh.2017.09.001