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Foley catheter erosion through bladder wall causing intraperitoneal bladder injury: a case report
Mohand Alzughaibi1, Naif Althonayan1, Khalid Alrabeeah1
1King Abdulaziz Medical City, Department of Surgery, Division of Urology, King Abdullah International Medical Research Center, Riyadh 11426, Saudi Arabia.
Journal of Surgical Case Reports
|March 14, 2022
Summary
Bladder perforation from indwelling catheters is rare but serious. Chronic catheterization in patients with neurogenic bladder can lead to bladder erosion, requiring surgical intervention.
Area of Science:
- Urology
- Medical Devices
Background:
- Bladder perforation from indwelling urinary catheters is a rare complication.
- It most commonly occurs in patients with chronic bladder conditions requiring long-term catheterization.
Observation:
- An 80-year-old male with a neurogenic bladder on chronic catheterization presented with abdominal pain and anuria.
- Computed tomography (CT) revealed the catheter tip eroding through the bladder into the peritoneum.
Findings:
- Surgical exploration (laparotomy) confirmed Foley catheter erosion through the bladder dome.
- A new open-tip catheter was inserted to prevent re-injury.
Implications:
- This case highlights the severe risks of chronic catheterization, including bladder perforation.
- A high index of suspicion is crucial for diagnosing and managing catheter-induced bladder injuries.
Related Concept Videos
01:22Esophageal Perforation-I: Introduction
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
01:28Esophageal Perforation-II: Clinical Manifestations and Management
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations: