Case report on unexplained hypotension during transurethral resection of prostate

Transurethral resection of prostate (TURP) is a very common surgical procedure in urological practice worldwide. Bladder rupture due to explosion is a very rare complication of this surgery. We report a case of 64 year old diabetic patient who underwent TURP for benign prostatic hyperplasia (BPH). Procedure was uneventful for 40 min. After that a loud thump was heard and sudden fall in blood pressure (BP) was noticed, despite aggressive management BP was not maintained. Then intraabdominal exploration revealed bladder rupture, which was repaired by surgeon. Blood pressure was gradually maintained towards normal. Then patient was shifted to intensive care unit (ICU) and then discharged uneventfully.