Abstract
During laparoscopic-assisted vaginal hysterectomy (LAVH) on a 47-year-old female patient, an anesthesiologist drew our attention to intraoperative bladder injury when observing carbon dioxide used for pneumoperitoneum leaking through an indwelling bladder catheter into a closed urethral catheterization bag. The surgeons had not recognized the injury. The location of the injury was discovered by injecting indigo carmine via the bladder catheter. The risk of bladder injury is higher in LAVH than in total abdominal hysterectomy. Unrecognized intraoperative bladder injury causes many types of complications. For this reason, gas for pneumoperitoneum leaking through a bladder catheter during LAVH should lead to suspicion of bladder injury, and proper measures should then be taken.
