Non-traumatic (Spontaneous) Rupture of the Bladder One Year After Laparoscopic Resection for Infiltrating Endometriosis

Introduction . Deep infiltrative endometriosis is a serious disease that often affects adjacent organs such as the bladder and intestines, which requires surgical treatment. At the same time, surgical intervention itself carries the risk of developing early postoperative and long-term undesirable consequences. A number of such consequences are known, in particular, detrusor dysfunction, but it is an extremely difficult task to take into account all possible options for the development of the postoperative period. Here is an example of a difficult-to-predict complication that occurred one year after laparoscopic bladder resection.

The purpose of the work is to describe a non-traumatic (spontaneous) bladder rupture associated with deep infiltrating endometriosis using a clinical case as an example.

Materials and methods . Medical documentation, including surgical protocols, observations, and data from a comprehensive laboratory and instrumental examination of the patient, was used.

Results . A detailed analysis of a clinical case of non-traumatic bladder rupture was conducted. The patient’s subjective complaints, objective symptoms, diagnostic methods, and surgical treatment were studied. Recommendations for the treatment approach and subsequent postoperative management of patients with deep infiltrating endometriosis were formulated.

Conclusion . The given clinical example indicates the need for a comprehensive interdisciplinary approach to the treatment of endometriosis when the urinary tract is involved. When urination disorders occur, it is advisable to conduct diagnostic studies to identify the cause of the phenomena and correct them in a timely manner.

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