It Suddenly Occurred: Extensive Subcutaneous Emphysema after Bipolar Transurethral Resection of Prostate.

Murat Bagcioglu,Mustafa Gok,Mert Ali Karadag,Ramazan Kocaaslan,Cafer Mutlu Sarikas,Omer Erkam Arslan

doi:10.1155/2015/134651

Murat Bagcioglu, Mustafa Gok + Show 4 more

Open Access

https://doi.org/10.1155/2015/134651

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Journal: Case Reports in Urology	Publication Date: Jan 1, 2015
Citations: 9	License type: CC BY 3.0

Affiliation: Kafkas University

Abstract

Subcutaneous emphysema is a very rare and good-natured complication after transurethral resection of prostate (TURP). It has been reported as colon perforation, diverticulitis, and bladder perforation associated complication previously. We report the first case of a wide subcutaneous emphysema due to microperforations of prostatic capsule, without a bladder perforation after TURP. Any sign of clinic situation should lead to ceasing of the procedure immediately; otherwise, it can cause a life-threatening problem of abdominal compartment syndrome.

Highlights

Transurethral resection of prostate (TURP) is the gold standard in surgical management of benign prostatic hyperplasia (BPH), and it is with decreased morbidity and mortality rates in the last decades, but it is still not without complications [1]
We present a case of subcutaneous emphysema on abdominal wall, chest wall, and face due to microperforations of the prostatic capsule with access of air to the retroperitoneal space
To the best of our knowledge, this rare complication is the first report of such a wide subcutaneous emphysema without a bladder perforation after TURP

Summary

Introduction

Transurethral resection of prostate (TURP) is the gold standard in surgical management of benign prostatic hyperplasia (BPH), and it is with decreased morbidity and mortality rates in the last decades, but it is still not without complications [1]. TURP involves several types of complications such as hematuria, urinary infection, extraperitoneal and intraperitoneal extravasation of irrigation fluids, transurethral resection syndrome, bladder perforation, injury of external sphincter or ureteral orifices, and even mortality [2]. We present a case of subcutaneous emphysema on abdominal wall, chest wall, and face due to microperforations of the prostatic capsule with access of air to the retroperitoneal space. To the best of our knowledge, this rare complication is the first report of such a wide subcutaneous emphysema without a bladder perforation after TURP

Case Presentation

Discussion

Conclusion