Clot Retention and Spontaneous Rupture with Secondary Pneumatosis of Bladder Wall Following Routine Cystoscopy

Sergey KRAVCHICK1, Shmuel CYTRON1, Leonid LOBIK1, Alexander ALTSHULER2, Yakov KRAVCHENKO3, David BEN-DOR3

1Department of Urology, Barzilai Medical Center, Ashkelon, Israel
2Department of Radiology, Barzilai Medical Center, Ashkelon, Israel
3Department of Pathology, Barzilai Medical Center, Ashkelon, Israel


In this article we report an unusual case of spontaneous rupture of bladder wall following office-cystoscopy. It took place in a patient who suffered from low-stage highgrade carcinoma of bladder with the different aggressive behavior. Finally, he underwent radical cystectomy, which showed micropapillary carcinoma and pneumatosis within the bladder wall. The cause of the latter finding is rather puzzling and has been never reported previously. Pathology & Oncology Research, Vol 7, Nr 4, 301-302, 2001

Key words: bladder neoplasm; cystoscopy; bladder injury; pneumatosis

Received: Jul 31, 2001; accepted: Oct 10, 2001
Correspondence: Sergey KRAVCHICK, Department of Urology, Barzilai Medical Center, Ha Histadrut 1 Ashkelon 78306, Israel; Tel: 972-8-6745925, Fax: 972-8-6736750

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