Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 16, 2022; 10(29): 10689-10694
Published online Oct 16, 2022. doi: 10.12998/wjcc.v10.i29.10689
Intravesical explosion during transurethral resection of bladder tumor: A case report
Chuan-Bing Xu, Dong-Sheng Jia, Zheng-Sheng Pan
Chuan-Bing Xu, Dong-Sheng Jia, Zheng-Sheng Pan, Department of Urology, Zibo Central Hospital, Zibo 255036, Shandong Province, China
Author contributions: Pan ZS conceived and wrote the manuscript; Xu CB reviewed the manuscript and reviewed the literature; Jia DS supervised the treatment of the patient; and all authors read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Zheng-Sheng Pan, MD, Attending Doctor, Department of Urology, Zibo Central Hospital, No. 54 Gongqingtuan West Road, Zibo 255036, Shandong Province, China.
Received: May 11, 2022
Peer-review started: May 11, 2022
First decision: July 12, 2022
Revised: July 15, 2022
Accepted: August 30, 2022
Article in press: August 30, 2022
Published online: October 16, 2022
Processing time: 141 Days and 1.9 Hours

Intravesical explosion during transurethral resection of bladder tumor (TUR-BT) is a very rare complication, and it may result in rupture of the bladder, which usually requires surgical correction and causes a potential threat to the patient’s life.


This paper reports a case of intravesical explosion during TUR-BT. Combined with the literature review, the risk factors are analyzed and measures of prevention and treatment are discussed.


Although rare, intravesical explosions can cause serious consequences, and the loud explosion can also lead to a profound psychological shadow on the patient. Urologists must be aware of this potential complication. Careful operative techniques and special precautions can reduce the risk of this complication.

Keywords: Transurethral resection of bladder tumor, Intravesical explosion, Vesical rupture, Case report

Core Tip: Transurethral resection of bladder tumor (TUR-BT) is the most common operation performed for non-muscle invasive bladder cancer. Although it is considered as a safe and minimally invasive procedure, occasionally life-threatening complications may be seen. Intravesical explosion is a very rare complication, and it may result in rupture of the bladder and has received special attention in consensus on safety of TUR-BT. Here, we present a case of an intravesical explosion during TUR-BT leading to bladder rupture to remind urologists of this rare complication with suggestions on how to manage and prevent this complication.