Abstract
Bladder injury can be intraperitoneal or extraperitoneal due to multiple mechanisms, with surgical repair as the mainstream management in intraperitoneal injuries. We present a case of iatrogenic intraperitoneal bladder injury during transurethral resection of a bladder tumor located in the superior bladder wall. Many cases reported the role of conservative management of intraperitoneal injuries that included intraperitoneal drain, urethral catheterization, and continued monitoring of vital signs and serial abdominal examination. Still, conservative management of intraperitoneal bladder injury is not established yet, with a clinically accepted role in many cases reported.