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Peer-reviewedCC BY-NC-NDUrology Case Reports

Beyond the bowel: Computed tomography (CT) Scan identification of intraperitoneal bladder perforation causing mechanical small bowel obstruction

  • Greg Samuels1
  • Gloria Tshimbidi2
  • Peter Aclavio3
  • Catharina Pothas2
  • Alain Mwamba Mukendi4
4 affiliations
  1. 1Department of Urology, Chris Hani Baragwanath Academic Hospital, Faculty of Health Sciences, University of the Witwatersrand, South Africa
  2. 2Department of General Surgery, Faculty of Health Sciences, University of the Witwatersrand, South Africa
  3. 3Department of Diagnostic Radiology, Faculty of Health Sciences, University of the Witwatersrand, South Africa
  4. 4Division of Urology, Department of Surgery, Charlotte Maxeke Johannesburg Academic Hospital, Faculty of Health Sciences, University of the Witwatersrand, South Africa; Corresponding author.
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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.

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Cite

BibTeXRIS
BibTeX
@article{samuels2026beyond,
  title = {{Beyond the bowel: Computed tomography (CT) Scan identification of intraperitoneal bladder perforation causing mechanical small bowel obstruction}},
  author = {Greg Samuels and Gloria Tshimbidi and Peter Aclavio and Catharina Pothas and Alain Mwamba Mukendi},
  journal = {Urology Case Reports},
  year = {2026},
  month = oct,
  doi = {10.1016/j.eucr.2026.103647},
  url = {https://doi.org/10.1016/j.eucr.2026.103647},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Beyond the bowel: Computed tomography (CT) Scan identification of intraperitoneal bladder perforation causing mechanical small bowel obstruction
AU  - Greg Samuels
AU  - Gloria Tshimbidi
AU  - Peter Aclavio
AU  - Catharina Pothas
AU  - Alain Mwamba Mukendi
PY  - 2026
DA  - 2026/10/21
JO  - Urology Case Reports
DO  - 10.1016/j.eucr.2026.103647
UR  - https://doi.org/10.1016/j.eucr.2026.103647
AB  - 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.
SN  - 2214-4420
ER  -