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 UNUSUAL CASE
Year : 2010  |  Volume : 6  |  Issue : 2  |  Page : 50-52

Urinary ascites secondary to delayed diagnosis of laparoscopic bladder injury


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
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.65165

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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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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04