Intra-abdominal abscess due to patient non-compliance after construction of an ileal neobladder: Case report and review of the literature

Purpose: A case report of patient with an intra-abdominal abscess 8 weeks a fter radical cystectomy and construction of an ileal neobladder is presente d. Methods/Results: The patient was admitted with nausea, vomiting and singult us. A perforation of the neobladder due to overdistension was assumed to be the underlying cause of the intra-abdominal abscess formation as the patie nt admitted infrequent voiding during the day and no emptying of the neobla dder at night. The patient underwent explorative laparotomy and 4200 mt of pus was removed from the abdominal cavity. The patient made an uneventful r ecovery and was discharged from hospital after 5 weeks. Neobladder function remained stable and the patient was leading a normal life at 24 months fol low-up. Conclusions: The present case demonstrates the need for careful patient sel ection Drier to radical cystectomy with continent urinary diversion. Reduce d compliance and mental disabilities of a patient can increase the complica tion rate.