Acute appendicitis is widely recognized as the leading cause of acute abdominal pain in patients seeking hospital treatment. The standard of care and golden approach has traditionally involved performing an appendicectomy, which nowadays is more often performed using laparoscopic techniques. As with any laparoscopic procedure, there is a risk of iatrogenic organ injury, particularly during trocar insertion; one such organ at risk is the urinary bladder (0.17-0.73%). Most reported cases of urinary bladder injuries occur due to trocar insertion in the suprapubic area. In this report, we present a case of a patient with an occult bladder injury diagnosed postoperatively on day 3 via creatinine level in drain fluid after undergoing a laparoscopic appendicectomy. We also include a review of the literature regarding the presentation, diagnosis, and management of this complication.
Keywords: appendicitis; bladder catheterization; bladder injury; ct cystogram; laparoscopic appendectomy; surgical complication; trocar injury; urinary bladder injury.
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