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J Korean Soc Emerg Med > Volume 32(5); 2021 > Article
Journal of The Korean Society of Emergency Medicine 2021;32(5): 471-475.
Bladder injury with vesicocutaneous fistula following acupuncture: a case report
In Hwan Yeo1 , Dong Eun Lee1 , Changho Kim1 , Yun Jeong Kim1 , Jun Seok Seo2
1Department of Emergency Medicine, Kyungpook National University Chilgok Hospital, School of Medicine, Kyungpook National University, Daegu, Korea
2Department of Emergency Medicine, Dongguk University Ilsan Hospital, Dongguk University College of Medicine, Goyang, Korea
Correspondence  Dong Eun Lee ,Tel: +82-53-200-6400, Fax: +82-53-428-2820, Email: delee@knu.ac.kr,
Received: February 15, 2021; Revised: April 12, 2021   Accepted: May 5, 2021.  Published online: October 31, 2021.
Acupuncture is globally practiced extensively, especially in Northeast Asian countries. We present a case of bladder injury with vesicocutaneous fistula (VCF) subsequent to acupuncture treatment on the lower abdomen. We believe that no similar case has been reported in previous literature. A 54-year-old woman was admitted to our emergency department, complaining of lower abdominal pain with erythema, after undergoing acupuncture. Physical examination revealed swelling with erythema and slight pus-like discharges in the lower abdomen, with accompanying tenderness over the area of the swelling. An abdominal computed tomography showed evidence of bladder injury with VCF and abscess. Considering the underlying disease and the risk of surgical treatment, the patient was successfully treated with percutaneous abscess drainage and an indwelling urinary catheter. Considering the outcome of this case, we recommend that practitioners need to perform acupuncture treatment with sufficient anatomical knowledge and proper technique, to reduce the possibility of subsequent complications.
Key words: Acupuncture; Adverse effects; Urinary bladder fistula
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