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[Ureteral rupture when changing a suprapubic vesical catheter].
H Frickmann1, S Jungblut, P Hanke
1Urologische Klinik, Katharina Kasper Kliniken, St. Elisabethen Krankenhaus, 60487, Ginnheimer Strasse 3, Frankfurt/Main, Deutschland. Frickmann@em.uni-frankfurt.de
Der Urologe. Ausg. A
|December 21, 2006
Summary
A rare ureteral injury occurred during suprapubic catheter change when a guide wire entered the left ureter, causing blockage. Diagnosis was confirmed via intravenous pyelography, and a pigtail stent was inserted.
Area of Science:
- Urology
- Medical Device Complications
- Surgical Procedures
Background:
- Suprapubic vesical catheterization is a common procedure for bladder drainage.
- Potential complications, though rare, require careful consideration during catheter manipulation.
Observation:
- A guide wire inadvertently entered the left ureteral ostium during a suprapubic catheter exchange.
- The catheter was advanced over the guide wire, leading to left ureteral obstruction.
Findings:
- The study reports the first documented case of ureter rupture secondary to suprapubic catheter replacement.
- Intravenous pyelography confirmed the ureteral lesion and obstruction.
- Successful management involved placement of a pigtail stent in the affected ureter.
Implications:
- Highlights the risk of ureteral injury during suprapubic catheter manipulation.
- Emphasizes the importance of meticulous technique and awareness of potential guidewire misplacement.
- Presents a case for prompt diagnosis and endourological intervention for such injuries.
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