Recurrent Evisceration After Cystoprostatectomy in a Multimorbid Patient: A Case Report.

Abstract

We report a rare case of recurrent evisceration following radical cystoprostatectomy with Bricker urinary diversion in a 71-year-old patient with type 2 diabetes mellitus, chronic obstructive pulmonary disease, hypertension, and peripheral arterial disease. Despite an initially uneventful recovery, the patient presented with full-thickness wound dehiscence and evisceration just eight days after discharge. His recovery was further complicated by comorbidities and poor adherence to postoperative activity restrictions. After several abdominal wall re-explorations and debridements, combined with negative pressure wound therapy (NPWT), definitive reconstruction was achieved using a pedicled musculocutaneous flap, followed by split-thickness skin grafting. At 10-month follow-up, the patient achieved full wound healing with satisfactory functional and cosmetic outcomes. This case highlights the importance of risk stratification, early use of advanced wound management techniques, and multidisciplinary care in complex surgical patients.