Enterovesical Herniation: A Rare Complication After Transurethral Resection of Bladder Tumor

• Published in: Journal of Urological Surgery
• Main Authors: Kanishka Samanta, Pramod Kumar Sharma, Souvik Chatterjee, Dilip Karmakar
• Format: Article
• Language: English
• Published: Society of Urological Surgery 2019-03-01
• Subjects: Bladder tumor; Transurethral resection; Internal hernia
• Online Access: http://jurolsurgery.org/archives/archive-detail/article-preview/enterovesical-herniation-a-rare-complication-after/25674

Enterovesical herniation through an acquired bladder wall defect after transurethral resection is an exceedingly rare complication. Small bladder perforations may go unrecognized after transurethral resection as adherent bowel loops seal the defect. We present a very rare case of internal herniation of both small bowel and sigmoid colon into the urinary bladder following transurethral resection of a bladder tumor. Magnetic resonance imaging revealed herniation of bowel loops into the lumen of the urinary bladder through a defect in the dome. On exploratory laparotomy, internal herniation of the ileum and sigmoid colon through a defect in the superior wall of the urinary bladder was found.