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Septic Shock Immediately following Percutaneous Suprapubic Catheterization.
Cale E Leeson1, Brianna-Lee Beaudry2, Geoffrey R Wignall3
1Division of Urology, Department of Surgery, University of Ottawa, Ottawa, Ontario, Canada.
Case Reports in Urology
|September 13, 2021
Summary
Suprapubic catheterization (SPC) is a safe procedure, but rare septic shock complications can occur soon after surgery. Early recognition and prompt management are crucial for positive outcomes in patients undergoing SPC.
Area of Science:
- Urology
- Surgical Complications
- Critical Care Medicine
Background:
- Suprapubic catheterization (SPC) is a standard procedure for long-term bladder decompression.
- Significant complications associated with SPC are infrequent when performed with proper technique and patient selection.
Observation:
- An 83-year-old patient developed septic shock within one hour of undergoing suprapubic catheterization.
- The patient had a chronic hypotonic bladder, the indication for the procedure.
Findings:
- Immediate postoperative septic shock following SPC is a rare but serious complication.
- This case highlights a rapid onset of septic shock post-procedure.
Implications:
- Emphasizes the need for vigilant monitoring of patients immediately after suprapubic catheterization.
- Underscores the importance of prompt recognition and management of septic shock to improve patient outcomes.
- Suggests that even in low-risk procedures, severe complications can manifest rapidly.
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