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  • Title: [Foreign body in the urinary bladder after vascular surgery].
    Author: Häcker A, Uysal Z, Badawi K, Langbein S, Kamp S, Hatzinger M, Alken P, Michel MS, Freudenberg S.
    Journal: Aktuelle Urol; 2005 Jun; 36(3):249-51. PubMed ID: 16001342.
    Abstract:
    INTRODUCTION: We are presenting a rare complication after femorofemoral bypass surgery. CASE REPORT: In a 61-year-old male patient, a femorofemoral crossover bypass graft was inadvertently placed through the urinary bladder. Postoperatively, the patient developed macrohematuria, which cleared spontaneously. The diagnosis of an intravesical graft was made 3 months after surgery by cystoscopy performed because of dysuria. The patient underwent open bladder surgery 7 months later as he refused earlier intervention. The misplaced graft, which was not infected and showed good function and perfusion, was extravesically relocated. At a 16-month follow-up examination, the patient is free of urological symptoms and the bypass functions well. CONCLUSIONS: In case of dysuria or macrohematuria after vascular surgery in the vicinity of the urinary bladder, a misplaced bypass should be excluded.
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