Pneumomediastinum due to inadvertent bladder perforation during transurethral resection of the prostate : A case report

Sung Hoon Kim; Won Jung Shin; Jun Young Park; Young Kug Kim; Gyu Sam Hwang; Jai Hyun Hwang

doi:10.4097/kjae.2009.56.5.597

Pneumomediastinum due to inadvertent bladder perforation during transurethral resection of the prostate : A case report

Korean J Anesthesiol. 2009 May;56(5):597-600. doi: 10.4097/kjae.2009.56.5.597.

Authors

Sung Hoon Kim¹, Won Jung Shin¹, Jun Young Park¹, Young Kug Kim¹, Gyu Sam Hwang¹, Jai Hyun Hwang¹

Affiliation

¹ Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. kyk@amc.seoul.kr.

PMID: 30625796
DOI: 10.4097/kjae.2009.56.5.597

Abstract

Transurethral resection of the prostate (TURP) is a common procedure for managing benign prostatic hyperplasia (BPH), and this procedure is associated with low complication rates. Bladder perforation is an unusual complication of TURP, and it may create an air leak into the retroperitoneal space. Here we describe a case of pneumomediastinum, pneumoretroperitoneum and subcutaneous emphysema that were all due to a bladder perforation that occurred during performing TURP in a 74-year-old male patient with BPH.

Keywords: Bladder perforation; Pneumomediastinum; Pneumoretroperitoneum; Subcutaneous emphysema; Transurethral resection of the prostate.