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Korean Journal of Anesthesiology 2009;56(5):597-600.
DOI: https://doi.org/10.4097/kjae.2009.56.5.597   
Pneumomediastinum due to inadvertent bladder perforation during transurethral resection of the prostate : A case report.
Sung Hoon Kim, Won Jung Shin, Jun Young Park, Young Kug Kim, Gyu Sam Hwang, Jai Hyun Hwang
Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. kyk@amc.seoul.kr
Abstract
Transurethral resection of the prostate (TURP) is a common procedure for managing benign prostatic hyperplasia (BPH), and this procedure is associated with low complication rates. Bladder perforation is an unusual complication of TURP, and it may create an air leak into the retroperitoneal space. Here we describe a case of pneumomediastinum, pneumoretroperitoneum and subcutaneous emphysema that were all due to a bladder perforation that occurred during performing TURP in a 74-year-old male patient with BPH.
Key Words: Bladder perforation; Pneumomediastinum; Pneumoretroperitoneum; Subcutaneous emphysema; Transurethral resection of the prostate


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