Open Access

CASE REPORT

Bladder perforation during laparoscopic donor nephrectomy

P. D. Metcalfe, L. Hickey, J. G. Lawen

Department of Urology, Dalhousie University, Halifax, Nova Scotia, Canada
Address correspondence to Dr. JG Lawen, Department of Urology, Rm. 5015 - 5 South, Centennial Bldg, Victoria General Site, QEII Health Sciences Centre 1278 Tower Road, Halifax, NS B3H 2Y9 Canada

Canadian Journal of Urology 2004, 11(6), 2456-2458.

Abstract

We present two cases of bladder perforation during laparoscopic donor nephrectomy at our institution. Neither of the surgeries was otherwise complicated, and the diagnoses were made post-operatively. The kidneys were extracted through a Pfannenstiel incision and used blunt dissection to penetrate the peritoneum. Both patients had previous tubal ligations, adhesions from which may have increased the chance of injury. We believe that this is a previously unreported complication that merits attention. Care should be taken with the peritoneal incision and dissection as the bladder may be susceptible to injury.

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