Pouch Perforation After Augmentation Cystoplasty With Ileocolic Pouch: Report of a Case

Pouch perforation after augmentation cystoplasty with an ileocolic pouch is an uncommon but life-threatening complication, which can result in peritonitis, sepsis and even death. We encountered a rare case of late pouch perforation after augmentation cystoplasty with an ileocolic pouch. A 52-year-old female was admitted with a chief complaint of acute abdominal pain for the past two days. Twenty years prior, she had undergone left nephrectomy and augmentation cystoplasty with an ileocolic pouch due to left renal abscess. The patient was diagnosed 16 years previously with chronic renal failure, which had been managed with hemodialysis. Physical examination revealed peritonitis with diffuse abdominal tenderness and board-like rigidity. The patient underwent an emergent laparotomy, revealing a perforation of the ileocolic pouch of the bladder, which was filled with stool-like mucoid material. Pouch excision with total cystectomy was performed, but the patient died the next day. J Med Cases. 2012;3(5):294-296 doi: https://doi.org/10.4021/jmc636w