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Delayed bowel perforation following suprapubic catheter insertion

Shwan J Ahmed1, Ajay Mehta, Peter Rimington

  • 1Department of Urology, Royal Surrey County Hospital, Egerton Road, Guildford, UK. shwanahmed@yahoo.co.uk

BMC Urology
|December 17, 2004
PubMed
Abstract

Insights

Delayed bowel perforation is a rare but serious complication of suprapubic catheter insertion. Ultrasound guidance may help reduce the risk of this serious surgical complication.

Area of Science:

  • Urology
  • Surgical Complications

Background:

  • Suprapubic catheter insertion is a common procedure.
  • Complications, though rare, can be significant.

Observation:

  • A patient presented with peritonitis and feculent discharge two months post-suprapubic catheter insertion.
  • This indicated a delayed bowel perforation.

Findings:

  • Bowel perforation is a feared complication of suprapubic catheterization.
  • Lower abdominal scars increase the risk.

Implications:

  • Early recognition and management of delayed perforation are crucial.
  • Ultrasound guidance during insertion may mitigate perforation risk.

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