UNUSUAL CASE |
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Year : 2010 | Volume
: 6
| Issue : 2 | Page : 50-52 |
Urinary ascites secondary to delayed diagnosis of laparoscopic bladder injury
Hazem Al-Mandeel, Abeer Qassem
Department of Obstetrics and Gynecology, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia
Correspondence Address:
Hazem Al-Mandeel Department of Obstetrics and Gynecology, King Khalid University Hospital, King Saud University, P.O. Box 7805, Riyadh 11472 Saudi Arabia
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0972-9941.65165
We present a case of urinary ascites in a young woman secondary to unrecognized bladder injury during gynaecologic laparoscopic surgery. Delayed diagnosis occurred due to the absence of expected changes in serum biochemistry, which made the diagnosis of urinoma less likely. High suspicion of bladder injury following laparoscopic surgery should be present in patients with ill-defined symptoms even if no biochemical changes are seen. The case demonstrates important points in relation to the consequences of delayed diagnosis as well as overview on detection and prevention of such injury.
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