CC BY 4.0 · European J Pediatr Surg Rep. 2020; 08(01): e14-e17
DOI: 10.1055/s-0039-1700986
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Post Circumcision Intraperitoneal Rupture of the Urinary Bladder: A Rare Complication

1  Department of Paediatric Surgery, Mansoura University Children's Hospital, Mansoura, Egypt, Egypt
,
Mohammed Albishbishy
1  Department of Paediatric Surgery, Mansoura University Children's Hospital, Mansoura, Egypt, Egypt
,
Mostafa Elayyouti
1  Department of Paediatric Surgery, Mansoura University Children's Hospital, Mansoura, Egypt, Egypt
,
Mohamed Zohiri
1  Department of Paediatric Surgery, Mansoura University Children's Hospital, Mansoura, Egypt, Egypt
,
Adham Elsaied
1  Department of Paediatric Surgery, Mansoura University Children's Hospital, Mansoura, Egypt, Egypt
› Author Affiliations
Further Information

Publication History

11 November 2019

19 November 2019

Publication Date:
06 March 2020 (online)

Abstract

Circumcision is one of the most common pediatric surgical procedures performed all over the world and especially in Arab and Islamic countries. Many complications have been documented following this maneuver. We report on a rare case of intraperitoneal bladder rupture in a 7-day-old baby who was circumcised on his second day using the guillotine method. He presented to us with gangrene of the tip of the penis and a failure to void urine associated with progressive abdominal distension. Ultrasound revealed severe ascites. Aspiration and analysis confirmed the fluid to be urine. Ascending cystourethrogram was performed revealing a perforation of the posterior bladder wall near the trigone. Exploration was performed and repair done. Postoperative course was uneventful.