A case report of Urinary bladder injury post laparoscopic appendectomy: A rare complication

Abstract

Urinary bladder injury is a rare complication of laparoscopic abdominal surgery. The incidence is low and usually goes unidentified with confusing presentation. We report a case of such injury during laparoscopic appendectomy that was identified on 3rd post-operative day and a small 1 cm tear was found at posterior wall of bladder which and was repaired. There was also a collection anterior to bladder which was drained separately under radiological guidance later as on table cystogram did not show any leak anterior to bladder. Patient also had covid pneumonia during stay and patients stay and recovery was prolonged. Attention must be paid to port insertion under vision especially low insertion of supra pubic port should be avoided with pre op catheterization and key to diagnosis of injury is awareness of this rare entity. Keyword: Laparoscopic Appendectomy; Bladder Injury; Uroperitonium