Delayed bowel perforation following suprapubic catheter insertion

Ahmed, Shwan; Mehta, Ajay; Rimington, Peter

doi:10.1186/1471-2490-4-16

Cited by 29 publications

(17 citation statements)

References 3 publications

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“…Two patients presented after the first catheter change at around 3 months6 7 after SPC insertion, one patient presented 8 months after SPC insertion 8. All three patients presented with abdominal pain and peritonism and required laparotomy to repair the bowel injury.…”

Section: Discussionmentioning

confidence: 99%

Small bowel injury after suprapubic catheter insertion presenting 3 years after initial insertion

et al. 2013

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A 77-year-old woman was referred to urology with blockages of her suprapubic catheter (SPC). The catheter was replaced easily in the emergency department, however, no urine was draining, only a cloudy green fluid was visible. On cystoscopy bilious material was identified in the bladder. There was no catheter visible. There seemed to be a fistulous tract entering the bladder at the left dome. The urethra was dilated, a urethral catheter was placed and the SPC was removed. A CT demonstrated that the SPC tract transfixed a loop of pelvic small bowel and entered the bladder with no intraperitoneal contrast leak. The patient recovered well and did not require laparotomy. This case emphasises that bowel perforation, although rare, must be considered as a complication of SPC placement even years after initial insertion when catheter problems arise. Unusually, we learn that this complication may not present with abdominal pain or peritonism.

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Section: Discussionmentioning

confidence: 99%

Small bowel injury after suprapubic catheter insertion presenting 3 years after initial insertion

et al. 2013

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“…The risk of complications in patients with previous abdominal or pelvic surgery is increased from 5% to 31% [1]. In such patients, ultrasound scan (US) can be used to exclude interposed bowel loops thereby reducing the risk of bowel injury [15][16][17]. We believe this is the first reported case of severe abdominal haemorrhage complicating SPC insertion.…”

Section: Discussionmentioning

confidence: 86%

An Unusual Case of Severe Haemorrhage and Small Bowel Injury Following Percutaneous Suprapubic Catheter Insertion

Verwey¹

2012

World J Nephrol Urol

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Suprapubic catheterisation is a useful alternative to urethral catheterisation but it carries potentially serious complications, including bowel injury and infection. We present a case of severe intraabdominal haemorrhage following a suprapubic catheter insertion using the Seldginger technique. The patient's risk of complications was increased by a previous hysterectomy. This case demonstrates the use of ultrasound guidance during suprapubic catheterisation in high risk patients, such as those with previous abdominal or pelvic surgery.

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“…Despite the potential risks, SPCs have a high satisfaction rate of 72%, with 82% of patients preferring SPCs to urethral catheters 1. Efforts must be made by urologists and other healthcare professionals involved in the care of patients with SPCs to ensure that patients are aware of the risk of bowel injury prior to the procedure, that all preventative measures are taken and any complications are detected and managed effectively whether immediate or delayed.…”

Section: Discussionmentioning

confidence: 99%

“…His blood tests revealed no abnormality. A CT scan was ordered, which showed the SPC passing through the small bowel, as shown in figures 1 and 2 1. The CT also demonstrated that there were moderate amounts of extraluminal air and free fluid within the abdomen and pelvis, indicating bowel perforation.…”

Section: Investigationsmentioning

confidence: 99%

Bowel perforation presenting three months after suprapubic catheter insertion

et al. 2017

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An 82-year-old male with multiple comorbidities, including previous laparotomies, had a suprapubic catheter (SPC) inserted under guidance with ultrasound and a flexible cystoscope. Three months following the procedure, having returned for a flexible cystoscopy for ongoing bladder pain syndrome, he became peritonitic postoperatively.A CT scan and subsequent laparotomy confirmed the SPC to be passing through a section of terminal ileum. The bowel was resected and he recovered well after a long hospital admission. A literature search found this delayed presentation of bowel perforation following SPC insertion to be rare, with only a few other cases reported. In particular, previous abdominal surgery increases the risk of this complication. This case serves as a reminder of the rare but potentially significant risk of SPC insertion and unusually highlights that this may not present immediately.

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Delayed bowel perforation following suprapubic catheter insertion

Abstract: Background: Complications of suprapubic catheter insertion are rare but can be significant. We describe an unusual complication of a delayed bowel perforation following suprapubic catheter insertion.

Cited by 29 publications

References 3 publications

Small bowel injury after suprapubic catheter insertion presenting 3 years after initial insertion

Small bowel injury after suprapubic catheter insertion presenting 3 years after initial insertion

An Unusual Case of Severe Haemorrhage and Small Bowel Injury Following Percutaneous Suprapubic Catheter Insertion

Bowel perforation presenting three months after suprapubic catheter insertion

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