Delayed urinary bladder perforation in a hostile post-radiation pelvis

Hanjoo Lee, Aram Rojas, Mahir Gachabayov, Rifat Latifi, Roberto Bergamaschi

Research output: Contribution to journalArticlepeer-review


The radiation-induced injury to normal tissue is a well-described phenomenon that incites tissue hypoxia, vascular damage, and parenchymal cell death. In addition to the morbidity caused by the radiation-induced injury itself, surgical management adds to the overall morbidity in these patients. We herein present a case demonstrating challenges of surgical management of urological complications in a radiated pelvis including delayed bladder perforation, recurrence of vesicovaginal fistula, and ureteral stricture. Nonoperative management strategies should be exhausted prior to surgical intervention.

Original languageEnglish (US)
Pages (from-to)152-153
Number of pages2
JournalActa Chirurgica Belgica
Issue number2
StatePublished - 2021
Externally publishedYes


  • radiated pelvis
  • Retzius abscess
  • Urinary bladder perforation

ASJC Scopus subject areas

  • Surgery


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