Open Access

RESIDENT’S CORNER

Subcutaneous emphysema following cystoscopic clot evacuation

Madeline Cancian, Joseph Brito, Vincent Harisaran

Department of Urology, Alpert Medical School of Brown University, Providence, Rhode Island, USA
Address correspondence to Dr. Madeline Cancian, 2 Dudley Street, Suite 174, Providence, RI 02903 USA

Canadian Journal of Urology 2017, 24(6), 9137-9138.

Abstract

Gross hematuria is a common urologic problem which often requires surgical intervention. While generally a safe procedure, clot evacuation can have serious complications. Here we describe the case of an 85-year-old male who developed extensive subcutaneous emphysema following a small extraperitoneal bladder perforation during a clot evacuation. While our patient did well with expectant management, subcutaneous emphysema can lead to serious complications and any endourologic procedure should be stopped once crepitus is noted.

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