Anaesthetic Management of a Patient During Transurethral Resection of Prostate with Iatrogenic Intraperitoneal Bladder Explosion: An Atypical Event

Transuretheral resection of prostate (TURP) is one of the most commonly performed urological procedure. Though considered to be safe, it is sometimes associated with atypical complications. We hereby report a successful anaesthetic management of bladder explosion, a very rare complication of TURP, occuring towards the end of the procedure at the time of removal of resectoscope. The prompt recognition and management of the same led to uneventful postoperative course.

A case of a sporadic malignant peripheral nerve sheath tumor of the urinary bladder with concomitant in situ urothelial carcinoma treated by transuretheral resection.

Malignant peripheral nerve sheath tumor (MPNST) of the urinary bladder is a very rare clinical entity. The association of such a tumor with urothelial carcinoma is even more unusual. Differential diagnosis between coexisting two distinct primary tumors and carcinosarcoma of the urinary bladder is very important as both the treatment and prognosis vary widely. Herein, we report a case of an MPNST with a concomitant in situ urothelial carcinoma in a 53-year-old man. To our knowledge, this is the first documented case of MPNST of the bladder that is treated by transuretheral resection which is in contrast with the previous reports that used cystectomy.