Case report: A rare case of extravesical, extraperitoneal metastasis after transuretheral resection of urothelial carcinoma

H C Lim; T L Khong; T A Ong; A C Roslani; C W Ang

doi:10.1016/j.eucr.2019.101017

Case report: A rare case of extravesical, extraperitoneal metastasis after transuretheral resection of urothelial carcinoma

Urol Case Rep. 2019 Sep 17:29:101017. doi: 10.1016/j.eucr.2019.101017. eCollection 2020 Mar.

Authors

H C Lim¹, T L Khong¹, T A Ong², A C Roslani¹, C W Ang¹

Affiliations

¹ Colorectal Unit, Department of Surgery, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia.
² Urology Unit, Department of Surgery, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia.

Abstract

Bladder perforation secondary to transurethral resection of bladder tumour (TURBT) increases the risk of tumour cell seeding and eventual extravesical metastasis. Here we presented a case where a patient with localised bladder tumour was initially managed with repeated TURBTs for tumour recurrence. Subsequently he was found to have extravesical pelvic metastasis. This was likely secondary to microperforation of bladder and tumour cell seeding. Microscopic bladder perforation is difficult to diagnose. However patients with confirmed bladder perforation during TURBT would justify systemic radiological cancer surveillance in view of higher risk of metastatic disease.

Keywords: Metastasis; Transurethral resection of bladder tumour.

Publication types

Case Reports