Intraoperative detection of laparoscopic bladder injury

We report a case of bladder perforation during laparoscopic gynaecological surgery that was detected intraoperatively by gaseous distention of the urinary bag. The anaesthetist can help detect intraoperative laparoscopic bladder injury by checking the bladder catheter collection bag for gaseous distension. In this clinical report, gaseous distention of the urinary bag was the only indication of intraoperative laparoscopic bladder injury and resulted in immediate intervention and surgical repair. Intraoperative bladder injury repair will result in decreased surgical morbidity, and if performed laparoscopically may result in decreased hospital stay.