PMC4719910_01
Admission computed tomography of abdomen demonstrating free intraperitoneal fluid (white arrows).
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He was initially admitted under gastroenterology for management of possible spontaneous bacterial peritonitis after initial computed tomography (CT) of the abdomen (portal venous contrast and oral contrast) revealed free intraperitoneal fluid (Fig. 1).
Left bladder dome perforation demonstrated on flexible cystoscopy.
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This revealed a 1 cm intraperitoneal bladder perforation in the left bladder dome and he subsequently underwent an open repair of the bladder perforation (Figs. 2 and 3).
Intraoperative picture of bladder perforation (black arrow).
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This revealed a 1 cm intraperitoneal bladder perforation in the left bladder dome and he subsequently underwent an open repair of the bladder perforation (Figs. 2 and 3).
Cystogram 4 weeks post repair demonstrating no leak.
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Cystogram 4 weeks post procedure revealed no leak and he successfully passed a trial of void (Fig. 4).