Bladder Perforation From Capsaicin Infusion : A Case Report

Authors

  • Sittiporn Srinualnad Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Teerapon Amornvesukit Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Suchai Soontrapa Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700

Keywords:

Bladder Perforation, Capsaicin Infusion, Case Report

Abstract

We reported a 36-year-old patient, with a spinal cord lesion who had bladder perforation during an infusion of 400 mls of Capsaicin (1mMol in 30% alcohol) for treatment of detrusor hyperreflexia. Under spinal anesthesia during the procedure he was restless and complained of chest discomfort. The operation was therefore terminated and a cystogram was carried out. Cystography showed extraperitoneal leakage of contrast media. He was treated conservatively and had an uneventful post-operative period. To prevent this complication, we therefore recommend an infusion volume of Capsaicin of between half to two-thirds of the patients bladder capacity together with pressure monitoring during the procedure.

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Published

11-08-2020

How to Cite

Srinualnad, S. ., Amornvesukit, T. ., & Soontrapa, S. . (2020). Bladder Perforation From Capsaicin Infusion : A Case Report. Siriraj Medical Journal, 53(1), 38–42. Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/244054

Issue

Section

Case Report