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

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Murat Bagcioglu ◽  
Mert Ali Karadag ◽  
Ramazan Kocaaslan ◽  
Cafer Mutlu Sarikas ◽  
Mustafa Gok ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Transurethral Resection ◽  
Subcutaneous Emphysema ◽  
Bladder Perforation ◽  
Colon Perforation ◽  
Transurethral Resection Of Prostate ◽  
Prostatic Capsule ◽  
First Case ◽  
Life Threatening ◽  
Abdominal Compartment

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.

scholarly journals Acute Abdominal Compartment Syndrome following Extraperitoneal Bladder Perforation

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Ana Licina
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Point Of Care ◽  
Abdominal Ultrasound ◽  
Bladder Perforation ◽  
Free Fluid ◽  
Fluid Extravasation ◽  
First Case ◽  
Function Impairment ◽  
Abdominal Compartment

Extraperitoneal bladder perforation is a known complication of a commonly performed rigid cystoscopy. If unrecognized, this complication can lead to continuous intra-abdominal fluid leakage with consequent organ function impairment and symptoms. This is the first case report in literature of a transurethral bladder perforation causing an acute abdominal compartment syndrome, which was subsequently managed conservatively with supportive management only. Case Presentation. We describe a clinical course of a 73-year-old Caucasian female whose initial acute presentation involved urinary symptoms. Surgery and general anaesthesia during rigid cystoscopy were complicated by an initially unrecognized extraperitoneal bladder perforation, resulting in fluid extravasation. This extravasation resulted in transurethral bladder resection syndrome with acute intra-abdominal free fluid accumulation. This complication caused acute abdominal compartment syndrome resulting in respiratory end-organ compromise and immediate postextubation respiratory failure. Patient required an emergency reintubation. During the management, diagnosis was considered through the use of the point of care abdominal ultrasound. Postoperatively, patient was managed conservatively in intensive care. Postoperative course included an approximate nine liters of urinary diuresis and supportive ventilation for four days. Conclusion. There is equipoise in the clinical management of abdominal compartment syndrome with regard to supportive medical management alone or invasive surgical treatment.

Comparative Analysis between Monopolar and Bipolar TURP - A Single Institute Prospective Controlled Study

2021 ◽  
Vol 8 (3) ◽  
pp. 1-4
Author(s):  
Prashant Patel ◽  
Krunal Patel
Keyword(s):  
Symptom Score ◽  
Transurethral Resection ◽  
International Prostate Symptom Score ◽  
Controlled Trial ◽  
Surgical Techniques ◽  
Controlled Study ◽  
Transurethral Resection Of Prostate ◽  
Urinary Flow ◽  
Postvoid Residual Urine ◽  
Life Threatening

Background: The ‘gold standard’ surgical treatment of clinically obstructive BPH is TURP, but life-threatening complications such as transurethral resection syndrome are occasionally observed. This has traditionally been provided as monopolar TURP, but morbidity associated with MTURP has led to the introduction of other surgical techniques. Objectives: To compare the effects of bipolar and monopolar TURP. Methods: In this prospective comparative study, 50 patients of each group undergo transurethral resection of prostate were enrolled and randomized to surgery by M‑TURP or B-TURP. International Prostate Symptom Score (IPSS), uroflowmetry, ultrasonography, prevoid, postvoid and international prostate symptom score (IPSS), maximum urinary flow rate (Qmax), postvoid residual urine (PVRU) volume, and prostate volume (PV). Complications and sequelae also assessed. Comparisons performed. Results:No significant differences found in baseline characteristics or operative data, No differences found in IPSS, Qmax or PVRU volume. Conclusions:Based on this controlled trial, there is not significant variation in effectiveness and safety between M-TURP and Bipolar -TURP for the treatment of BPH. Accordingly, M-TURP continues to be a valid option for the treatment of BPE. Keywords: Transurethral resection of prostate, Monopolar, Bipolar.

Abdominal compartment syndrome secondary to chronic constipation in MECP2 duplication syndrome

2021 ◽  
Vol 14 (6) ◽  
pp. e242104
Author(s):  
Alyaa Al Ali ◽  
Ram Singh ◽  
Guido Filler ◽  
Musaab Ramsi
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Multiorgan Failure ◽  
Abdominal Pressure ◽  
Decompressive Laparotomy ◽  
Mecp2 Duplication Syndrome ◽  
Life Threatening ◽  
Refractory Septic Shock ◽  
Abdominal Compartment ◽  
Duplication Syndrome

Abdominal compartment syndrome (ACS) is an infrequently encountered life-threatening disorder characterised by elevated abdominal pressure with evidence of new organ dysfunction. It is rarely reported in paediatrics. We describe an extremely unusual presentation of a 13-year-old boy with long-standing constipation who developed ACS complicated by refractory septic shock and multiorgan failure. He was treated with emergent decompressive laparotomy and supportive critical care. This case highlights the need for early diagnosis and timely management of ACS to improve its outcome.

scholarly journals Abdominal compartment syndrome due to subcutaneous emphysema

2012 ◽  
Vol 2012 (feb25 1) ◽  
pp. bcr1120115089-bcr1120115089 ◽  
Author(s):  
R. Reed ◽  
F. D'Alessio ◽  
L. Yarmus ◽  
D. Feller-Kopman
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Subcutaneous Emphysema ◽  
Abdominal Compartment

scholarly journals Intraperitoneal bladder explosion during transurethral surgery

2019 ◽  
Vol 12 (7) ◽  
pp. e229580
Author(s):  
Jagdish Gupta ◽  
Archit Gupta
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Transurethral Resection ◽  
Favourable Outcome ◽  
Prostatic Hyperplasia ◽  
Transurethral Resection Of Prostate ◽  
Safe Procedure ◽  
Prostatic Enlargement ◽  
Life Threatening ◽  
Common Operation

Transurethral resection of prostate (TURP) is the most common operation performed for obstruction secondary to prostatic enlargement. Though considered as a safe procedure, occasionally life-threatening complications may be seen. Intravesical explosion, secondary to ignition by diathermy of the accumulated mixture of hydrogen, hydrocarbons and higher concentration of oxygen, is a rarely reported complication (only 38 cases reported until). We are reporting a 60-year-old man suffering from benign prostatic hyperplasia in whom during TURP bladder explosion occurred which was suspected early and immediately explored and repaired leading to a favourable outcome.

scholarly journals MASSIVE GENERALIZED SUBCUTANEOUS EMPHYSEMA CAUSING ABDOMINAL COMPARTMENT SYNDROME: CASE REPORT

CHEST Journal ◽  
2020 ◽  
Vol 158 (4) ◽  
pp. A1261-A1262
Author(s):  
Juan Feliciano-FIgueroa ◽  
Juan Santiago ◽  
Hector Nunez Medina ◽  
Hector Oliveras-Cordero ◽  
Maria Vega-Martinez
Keyword(s):  
Case Report ◽  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Subcutaneous Emphysema ◽  
Abdominal Compartment
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