Intraperitoneally placed foley's catheter secondary to iatrogenic bladder perforation: A case report

Onwuasoanya UE1*
1Department of Urology, Lily hospitals Limited, Warri, Delta State, Nigeria.
*Correspondence: Dr. Onwuasoanya Uzodimma E, ejike31@gmail.com

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Abstract

Background: Urethral catheterisation is one of the commonest procedures performed by health care professionals worldwide and has several indications. Although this procedure is simple, it can lead to several complications some of which can be life threatening such as bladder perforation leading to peritonitis.
Case Presentation: We report the management of a 63-year-old male who presented to Lily Hospitals Limited, Warri, Delta State, Nigeria with complaints of bilateral flank pains following urethral catheterisation. Evaluation of the patient revealed intraperitoneal fluid collection and he had exploratory laparotomy with findings of foley’s catheter in the peritoneal cavity and bladder perforation. He subsequently had bladder repair and urethral catheterization with resolution of the flank pains after the procedure.
Conclusion: Bladder perforation is a rare complication of urethral catheterisation and can lead to life threatening peritonitis. Urgent exploratory laparotomy is pertinent to prevent mortality.

Keywords: Bladder, Perforation, Catheterisation.

Cite this article: Abubakar IA. Early physiotherapy after femoral fracture and intramedullary nailing; a case report. Yen Med J. 2021;3(2):153–157.

REFERENCES

  1. Maki DG, Tambyah PA. Engineering out the risk for infection with urinary catheters. Emerg Infect Dis. 2001;7(2):342-347.
  2. St Luce S, Ninan AC, Hall JA, Kimberl IJ, Petros JA, Issa MM. Role of transrectal ultrasonography in diagnosis and treatment of retained foley’s catheter. Urology. 2005;65(5):1001.
  3. Limon O, Unleur EE, Unay FC, Oyar O, Sener A. An unusual cause of death: Spontaneous urinary bladder perforation. Am J Emerg Med. 2012;30(9):2081.e3-5.
  4. Kim IY, Lee SB, Choi BK, Kim SR, Lee DW, Rhee H, et al. Bladder rupture in immediate post renal transplant period of uncertain cause. Clin. Transplant. 2012;10(2):180-182.
  5. Merguerian PA, Erturk E, Hulbert WC, Jr Davis RS, May A, Cockett AT. Peritonitis and abdominal free air due to intraperitoneal bladder perforation associated with indwelling urethral catheter drainage. J Urol. 1985;134(4):747-750.
  6. Spees EK, O’mara C, Murphy JB, Michigan S, Newton CG. Unsuspected intraperitoneal perforation of the urinary bladder as an iatrogenic disorder. Surgery. 1981;89(2):224-231.
  7. O’Gorman S, O’Brien A, Leahy A, Butler MR, Keane FB. Rectovesical fistula due to indwelling catheter. Br J Urol. 1990;65(4):424.
  8. Saleem MA, Mahmoud AM, Gopinath BR. Spontaneous urinary bladder rupture: A rare differential for lower abdominal pain in a female patient. Singapore Med J. 2009;50(12):e410-e411.
  9. Tabaru A, Endou M, Miura Y, Otsuki M. Generalized peritonitis caused by spontaneous intraperitoneal rupture of the urinary bladder. Intern Med. 1996;35(11):880-882.
  10. Galbraith JG, Butler JS, McGreal GT. Opioid toxicity as a cause of spontaneous urinary bladder rupture. Am J Emerg Med. 2011;29(2):239.e1-239.e2393.
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