The Management of a Urinary Bladder Leak in a Patient with Radiation Cystitis

Zubir S. Rentiya, MD, MSc; Deepa Francis, MD; Sandra Mary Francis, MD; Pugazhendi Inban, MD; Rohan Raj, MD; Ogbonnaya Akuma, MD; Chinaza Mercy Akuma, MD; Ronald Mauricio Blanco Montecino, MD; Manjeet Singh, MD; Kainat Makheja, MBBS; Om Parkash, MD; Santhosh J. Kottoor, MBBS

Radiology Case Reports (Jun 2024)

The Management of a Urinary Bladder Leak in a Patient with Radiation Cystitis

Zubir S. Rentiya, MD, MSc,
Deepa Francis, MD,
Sandra Mary Francis, MD,
Pugazhendi Inban, MD,
Rohan Raj, MD,
Ogbonnaya Akuma, MD,
Chinaza Mercy Akuma, MD,
Ronald Mauricio Blanco Montecino, MD,
Manjeet Singh, MD,
Kainat Makheja, MBBS,
Om Parkash, MD,
Santhosh J. Kottoor, MBBS

Affiliations

Zubir S. Rentiya, MD, MSc: University of Virginia, Department of Radiation Oncology & Radiology, Charlottesville, VA, USA; MedStar Georgetown University Hospital, Department of Surgery, Washington, DC, USA; Corresponding author.
Deepa Francis, MD: Windsor University School of Medicine, Department of Internal Medicine, Cayon, St. Kitts and Nevis
Sandra Mary Francis, MD: Windsor University School of Medicine, Department of Internal Medicine, Cayon, St. Kitts and Nevis
Pugazhendi Inban, MD: Government Medical College Omandurar, Chennai, India
Rohan Raj, MD: Nalanda Medical College and Hospital, Department of Internal Medicine, Patna, India
Ogbonnaya Akuma, MD: Ebonyi State University, Department of Internal Medicine, Abakaliki, Nigeria
Chinaza Mercy Akuma, MD: Nnamdi Azikiwe University, Department of Internal Medicine, Awka, Anambra state, Nigeria
Ronald Mauricio Blanco Montecino, MD: Universidad de El Salvador, Department of Internal Medicine, San Salvador, El Salvador
Manjeet Singh, MD: Liaquat National Medical College, Department of Internal Medicine, Karachi, Pakistan
Kainat Makheja, MBBS: Jinnah Sindh Medical University, Department of Internal Medicine, Karachi, Pakistan
Om Parkash, MD: Chandka Medical College, Department of Internal Medicine, Larkana, Pakistan
Santhosh J. Kottoor, MBBS: Mother Hospital Thrissur, Department of Internal Medicine, Kerala, India

Journal volume & issue: Vol. 19, no. 6
pp. 2429 – 2433

Abstract

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Urinary dysfunction following treatment for rectal adenocarcinoma is a common and complex complication. We present a case of a 69-year-old male who underwent laparoscopic-assisted left hemicolectomy and loop ileostomy after receiving chemotherapy and radiation therapy for rectal adenocarcinoma. Postoperatively, it was incidentally discovered the patient had urinary frequency and urgency. Cystoscopy revealed radiation changes to the bladder walls and a bladder leak was confirmed by cystogram. The patient underwent successful repair of the urinary bladder leak, with challenges posed by prior radiation therapy. Effective prevention and management strategies for urinary dysfunction require a comprehensive preoperative risk assessment, consideration of nerve-preserving surgical techniques, and prompt identification and repair of postoperative complications.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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