{
  "abstract": "Intraperitoneal bladder perforation can rarely cause mechanical small-bowel obstruction. A man with benign prostatic hyperplasia and longstanding transurethral catheterisation presented with abdominal pain, distension, obstipation and vomiting. Computed tomography demonstrated small-bowel obstruction with an ileal transition point adjacent to the catheter tip traversing the bladder dome. Surgical exploration revealed an ileal loop adherent to the perforated bladder. Adhesiolysis relieved the obstruction, and the bladder defect was debrided and repaired in two layers. This case highlights the importance of assessing catheter position and bladder integrity on computed tomography in chronically catheterised patients presenting with bowel obstruction, enabling recognition and multidisciplinary management.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Urology, Chris Hani Baragwanath Academic Hospital, Faculty of Health Sciences, University of the Witwatersrand, South Africa",
    "Department of General Surgery, Faculty of Health Sciences, University of the Witwatersrand, South Africa",
    "Department of Diagnostic Radiology, Faculty of Health Sciences, University of the Witwatersrand, South Africa",
    "Division of Urology, Department of Surgery, Charlotte Maxeke Johannesburg Academic Hospital, Faculty of Health Sciences, University of the Witwatersrand, South Africa; Corresponding author."
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Greg Samuels"
    },
    {
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        1
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      "name": "Gloria Tshimbidi"
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        2
      ],
      "name": "Peter Aclavio"
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    {
      "affs": [
        1
      ],
      "name": "Catharina Pothas"
    },
    {
      "affs": [
        3
      ],
      "name": "Alain Mwamba Mukendi"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/czqmxjkznqhy0.bib",
  "cited_by": 0,
  "doi": "10.1016/j.eucr.2026.103647",
  "fulltext_url": "http://www.sciencedirect.com/science/article/pii/S2214442026003104",
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  "language": "en",
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  "metadata_licence": null,
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      "lcc",
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  "pdf_url": "https://www.sciencedirect.com/science/article/pii/S2214442026003104/pdf",
  "pmcid": "PMC13718476",
  "pmid": "42959843",
  "published": "2026-10-21",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/czqmxjkznqhy0.ris",
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  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Intestinal and Peritoneal Adhesions",
      "subfield": "surgery"
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  ],
  "title": "Beyond the bowel: Computed tomography (CT) Scan identification of intraperitoneal bladder perforation causing mechanical small bowel obstruction",
  "title_text": "Beyond the bowel: Computed tomography (CT) Scan identification of intraperitoneal bladder perforation causing mechanical small bowel obstruction",
  "type": "peer-reviewed",
  "updated_at": "2026-11-02T12:22:30Z",
  "url": "https://research.draconitic.com/paper/czqmxjkznqhy0",
  "venue": "Urology Case Reports",
  "versions": []
}