{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T14:01:25Z","timestamp":1779112885179,"version":"3.51.4"},"reference-count":6,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Minimally invasive procedures have revolutionised surgery by reducing pain and the length of hospital stay for patients. These are not simple procedures and training in laparoscopic surgery is an arduous process. Meticulous preparation prior to surgery is paramount to prevent complications.<\/jats:p><jats:p>We report a rare complication involving a 35-year-old patient who underwent a laparoscopic appendicectomy for a perforated appendix. Two days after surgery the patient experienced redness and swelling in the lower abdominal region and oliguria. A delayed computer tomography (CT) scan revealed contrast leakage around the bladder spreading within the peritoneal cavity consistent with an intraperitoneal bladder perforation. She underwent urinary catheterisation for 6\u2005days. A follow-up CT cystogram showed no evidence of leakage into the peritoneal cavity. This case highlights the need for thorough preparation prior to laparoscopic surgery and careful manipulation of instruments during routine procedures to minimise the risk of serious patient complications such as the aforementioned.<\/jats:p>","DOI":"10.1136\/bcr-2013-200430","type":"journal-article","created":{"date-parts":[[2013,11,22]],"date-time":"2013-11-22T10:08:38Z","timestamp":1385114918000},"page":"bcr2013200430","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Occult bladder injury after laparoscopic appendicectomy"],"prefix":"10.1136","volume":"2013","author":[{"given":"Meher","family":"Lad","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Duncan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darren K","family":"Patten","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,11,22]]},"reference":[{"key":"2025042709405784000_2013.nov22_1.bcr2013200430.1","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1097\/SLA.0b013e3181cc99fd","article-title":"Fifteen years of litigation following laparoscopic cholecystectomy in England","volume":"2013","author":"Alkhaffaf","year":"2010","journal-title":"Ann Surg"},{"key":"2025042709405784000_2013.nov22_1.bcr2013200430.2","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1007\/s004640000337","article-title":"Trocar and Veress needle injuries during laparoscopy","volume":"2013","author":"Sch\u00e4fer","year":"2001","journal-title":"Surg Endosc"},{"key":"2025042709405784000_2013.nov22_1.bcr2013200430.3","doi-asserted-by":"crossref","first-page":"50","DOI":"10.4103\/0972-9941.65165","article-title":"Urinary ascites secondary to delayed diagnosis of laparoscopic bladder injury","volume":"2013","author":"Al-Mandeel","year":"2010","journal-title":"J Minim Access Surg"},{"key":"2025042709405784000_2013.nov22_1.bcr2013200430.4","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1016\/S1701-2163(16)35496-2","article-title":"The Society of Obstetricians and Gynaecologists of Canada. Laparoscopic entry: a review of techniques, technologies, and complications","volume":"2013","author":"Vilos","year":"2007","journal-title":"J Obstet Gynaecol Can"},{"key":"2025042709405784000_2013.nov22_1.bcr2013200430.5","doi-asserted-by":"crossref","first-page":"c7221","DOI":"10.1136\/bmj.c7221","article-title":"Early detection of complications after laparoscopic surgery: summary of a safety report from the National Patient Safety Agency","volume":"2013","author":"Lamont","year":"2011","journal-title":"BMJ"},{"key":"2025042709405784000_2013.nov22_1.bcr2013200430.6","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1136\/bmj.321.7264.784","article-title":"Laparoscopic surgery: two thirds of injuries initially missed","volume":"2013","author":"Ferriman","year":"2000","journal-title":"BMJ"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-200430","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T16:41:05Z","timestamp":1745772065000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-200430"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,11,22]]},"references-count":6,"alternative-id":["10.1136\/bcr-2013-200430"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-200430","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,11,22]]}}}