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Nishioka N, Kurimoto Y, Maruyama R, et al. Bladder and rectal incontinence without paraplegia or paraparesis after endovascular aneurysm repair. Surg Case Rep. 2016;2(1):11doi: 10.1186/s40792-016-0140-y.
Nishioka, N., Kurimoto, Y., Maruyama, R., Ujihira, K., Iba, Y., Hatta, E., Yamada, A., & Nakanishi, K. (2016). Bladder and rectal incontinence without paraplegia or paraparesis after endovascular aneurysm repair. Surgical case reports, 2(1), 11. https://doi.org/10.1186/s40792-016-0140-y
Nishioka, Naritomo, et al. "Bladder and rectal incontinence without paraplegia or paraparesis after endovascular aneurysm repair." Surgical case reports vol. 2,1 (2016): 11. doi: https://doi.org/10.1186/s40792-016-0140-y
Nishioka N, Kurimoto Y, Maruyama R, Ujihira K, Iba Y, Hatta E, Yamada A, Nakanishi K. Bladder and rectal incontinence without paraplegia or paraparesis after endovascular aneurysm repair. Surg Case Rep. 2016 Dec;2(1):11. doi: 10.1186/s40792-016-0140-y. Epub 2016 Feb 11. PMID: 26943687; PMCID: PMC4751105.
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Surg Case Rep. 2016 Dec;2(1):11. doi: 10.1186/s40792-016-0140-y. Epub 2016 Feb 11.

Bladder and rectal incontinence without paraplegia or paraparesis after endovascular aneurysm repair.

Surgical case reports

Naritomo Nishioka, Yoshihiko Kurimoto, Ryushi Maruyama, Kosuke Ujihira, Yutaka Iba, Eiichiro Hatta, Akira Yamada, Katsuhiko Nakanishi

Affiliations

  1. Department of Cardiovascular Surgery, Teine Keijinkai Hospital, 12-1-40, Maeda 1-jo, Teine-ku, Sapporo, Hokkaido, 006-8555, Japan. [email protected].
  2. Department of Cardiovascular Surgery, Teine Keijinkai Hospital, 12-1-40, Maeda 1-jo, Teine-ku, Sapporo, Hokkaido, 006-8555, Japan. [email protected].
  3. Department of Cardiovascular Surgery, Teine Keijinkai Hospital, 12-1-40, Maeda 1-jo, Teine-ku, Sapporo, Hokkaido, 006-8555, Japan. [email protected].
  4. Department of Cardiovascular Surgery, Teine Keijinkai Hospital, 12-1-40, Maeda 1-jo, Teine-ku, Sapporo, Hokkaido, 006-8555, Japan. [email protected].
  5. Department of Cardiovascular Surgery, Teine Keijinkai Hospital, 12-1-40, Maeda 1-jo, Teine-ku, Sapporo, Hokkaido, 006-8555, Japan. [email protected].
  6. Department of Cardiovascular Surgery, Teine Keijinkai Hospital, 12-1-40, Maeda 1-jo, Teine-ku, Sapporo, Hokkaido, 006-8555, Japan. [email protected].
  7. Department of Cardiovascular Surgery, Teine Keijinkai Hospital, 12-1-40, Maeda 1-jo, Teine-ku, Sapporo, Hokkaido, 006-8555, Japan. [email protected].
  8. Department of Cardiovascular Surgery, Teine Keijinkai Hospital, 12-1-40, Maeda 1-jo, Teine-ku, Sapporo, Hokkaido, 006-8555, Japan. [email protected].

PMID: 26943687 PMCID: PMC4751105 DOI: 10.1186/s40792-016-0140-y

Abstract

Spinal cord ischemia is a well-known potential complication of endovascular aneurysm repair (EVAR), and it is usually manifested by paraplegia or paraparesis. We describe a case in which spinal cord ischemia after EVAR presented by isolated bladder and rectal incontinence without other neurological deficits. A 63-year-old woman presented with intermittent claudication secondary to an infrarenal abdominal aortic aneurysm (AAA), and a left common iliac artery obstruction, for which she underwent EVAR using an aorto-uniiliac (AUI) device and ilio-femoral artery bypass. On postoperative day 3, she developed urinary and fecal incontinence without signs of paraplegia or paraparesis. Magnetic resonance imaging (MRI) showed a hyper-intense signal in the spinal cord. She received hyperbaric oxygen (HBO) therapy and was discharged after 18 days when her urinary and fecal incontinence were almost resolved. This report suggests that spinal cord ischemia after EVAR for aortoiliac occlusive disease might present as bladder and rectal incontinence without other neurological manifestations.

Keywords: Abdominal aortic aneurysm (AAA); Aorto-uniiliac (AUI) device; Bladder and rectal complications; Bladder and rectal incontinence; Endovascular aneurysm repair (EVAR); Hyperbaric oxygen (HBO) therapy

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