{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T03:22:13Z","timestamp":1777951333311,"version":"3.51.4"},"reference-count":5,"publisher":"Danish Medical Association","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ugeskr L\u00e6ger"],"abstract":"<jats:p>In this case report, a 77-year-old female attended a department of urology for a flexible cystoscopy in local anaesthesia with injection of botulinum toxin A in the bladder wall. One day later, she presented with suprapubic pain and hypotension which stabilized spontaneously. She was discharged but presented twice within the following week with severe bladder pain that was treated with mild analgesics. Eight days after the procedure she was readmitted with a haematoma of the abdomen and right flank and continuous bladder pain. CT revealed a large retroperitoneal haematoma, which was managed conservatively.<\/jats:p>","DOI":"10.61409\/v09250762","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T10:39:09Z","timestamp":1775731149000},"page":"1-3","source":"Crossref","is-referenced-by-count":0,"title":["Retroperitoneal haematoma after injection of botulinum toxin A in the bladder wall"],"prefix":"10.61409","author":[{"given":"Mette Christine","family":"Hochheim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsten Lykke","family":"Wahlstroem","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"40208","published-online":{"date-parts":[[2026,4,6]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"White N, Iglesia CB. Overactive bladder. Obstet Gynecol Clin North Am. 2016;43(1):59-68. https:\/\/doi.org\/10.1016\/j.ogc.2015.10.002","DOI":"10.1016\/j.ogc.2015.10.002"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Apostolidis A, Rahnama'i MS, Fry C et al. Do we understand how botulinum toxin works and have we optimized the way it is administered to the bladder? ICI-RS 2014. Neurourol Urodyn. 2016;35(2):293-298. https:\/\/doi.org\/10.1002\/nau.22797","DOI":"10.1002\/nau.22797"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Yu PH, Wang CC. Adverse effects of intravesical onabotulinumtoxinA injection in patients with idiopathic overactive bladder or neurogenic detrusor overactivity: a systematic review and meta-analysis of randomized controlled studies. Toxins (Basel). 2024;16(8):343. https:\/\/doi.org\/10.3390\/toxins16080343","DOI":"10.3390\/toxins16080343"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Issaoui ME, Elissaoui S, Elmelund M, Klarskov N. Bleeding risk in female patients undergoing intravesical injection of onabotulinumtoxinA for overactive bladder: a Danish retrospective cohort study. Int Urogynecol J. 2023;34(10):2581-2585. https:\/\/doi.org\/10.1007\/s00192-023-05579-1","DOI":"10.1007\/s00192-023-05579-1"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Atayi A, Al-Gburi S, Hamdoon M, Patrick N. A large pelvic haematoma caused by a local anaesthetic flexible cystoscopy injection of intradetrusor botulinum toxin A: a case report. Cureus. 2024;16(11):e74754. https:\/\/doi.org\/10.7759\/cureus.74754","DOI":"10.7759\/cureus.74754"}],"container-title":["Ugeskrift for L\u00e6ger"],"original-title":[],"deposited":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T09:39:47Z","timestamp":1777887587000},"score":1,"resource":{"primary":{"URL":"https:\/\/ugeskriftet.dk\/videnskab\/V09250762"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,6]]},"references-count":5,"URL":"https:\/\/doi.org\/10.61409\/v09250762","relation":{},"ISSN":["0041-5782","1603-6824"],"issn-type":[{"value":"0041-5782","type":"print"},{"value":"1603-6824","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,6]]}}}