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Bladder perforation: A rare complication of retention management
Kathleen Rebecca Lockhart1, Eric White1, David Malouf1
1St George Hospital, South Eastern Sydney Local Health District, Gray St, Kogarah NSW, 2217, Australia.
Urology Case Reports
|October 26, 2020
Summary
A rare case of bladder perforation occurred in a young woman after urinary catheterization. This highlights the importance of proper technique to avoid serious complications during bladder procedures.
Area of Science:
- Urology
- Surgical Complications
Background:
- Acute urinary retention is a common urological emergency.
- Urinary catheterization is a standard procedure for managing urinary retention.
Observation:
- A healthy 25-year-old woman presented with acute urinary retention after alcohol ingestion.
- Initial Foley catheterization drained over 1 L of hematuria.
- Persistent abdominal pain prompted further imaging and diagnostic laparoscopy.
Findings:
- Diagnostic laparoscopy revealed an intraperitoneal bladder perforation.
- The Foley catheter was found within the peritoneal cavity.
- The bladder defect was successfully repaired.
Implications:
- This case underscores the risk of iatrogenic bladder perforation from seemingly simple catheterization.
- Emphasizes the need for meticulous technique and heightened awareness of potential complications in urological procedures.
- Highlights that even in healthy individuals without comorbidities, serious iatrogenic injuries can occur.
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