Bowel perforation with suprapubic cystostomy Report of two cases

Two patients with small bowel perforation that occurred during suprapubic catheter insertion are described. Insertion of the catheter with a trocar and with transurethral sound, respectively, was responsible for the perforation. These perforations occurred despite preliminary bladder distention. Small bowel injury was slight in both patients, and neither patient required resection. In 1 patient, the ileocutaneous fistula closed spontaneously, and in the other, oversewing the perforation only was necessary; neither patient has known residual complications.