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[Anuric acute renal failure after suprapubic catheterization].

N Chautemps¹, C Milesi, D Forgues

¹Pédiatrie néonatale et réanimation, hôpital Arnaud de Villeneuve, CHU de Montpellier, 371 avenue du Doyen-G.-Giraud, Montpellier cedex 5, France.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie

|February 28, 2012

Summary

A suprapubic catheter placed too deep in a newborn obstructed the ureters, causing acute kidney injury. Proper measurement and catheter selection are crucial to prevent this serious complication in pediatric patients.

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Area of Science:

Pediatric Urology
Nephrology
Medical Device Complications

Background:

Percutaneous suprapubic catheterization offers an alternative route for bladder drainage when urethral catheterization is not feasible.
This procedure is utilized in various clinical scenarios, including cases where urethral access is challenging or contraindicated.

Observation:

A case report details a 3-day-old neonate who developed anuric acute renal failure following suprapubic catheter placement.
The complication arose from excessive catheter length inserted into the bladder, leading to obstruction of the vesicoureteral junctions.

Findings:

The excessive catheter length physically impeded the flow of urine from the kidneys to the bladder.
This obstruction resulted in a rapid decline in renal function, presenting as anuric acute renal failure.

Implications:

Preventive measures are essential to avoid suprapubic catheter-related complications in neonates.
Recommendations include systematic measurement of inserted catheter length, utilizing catheters with clear markings (e.g., 1cm gradations), and employing radiopaque materials for improved visualization during placement.