Iatrogenic bladder rupture in individuals with disability related to spinal cord injury and chronic indwelling urethral catheters

Teplitsky, Seth; Leong, Joon Yau; Shenot, Patrick J.

doi:10.1038/s41394-020-0296-3

Cited by 3 publications

(1 citation statement)

References 21 publications

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“…Contrast CT confirmed the diagnosis and in spite of an early diagnosis and surgical repair, the patient was hospitalized for 97 days due to post-operative complications. There are also reports that document long-term catheter-induced extra-peritoneal bladder rupture [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Repair of Catheter-Induced Intra-Peritoneal Bladder Perforation

Sayedin¹,

Datta²,

Keoghane³

2021

Cureus

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Urinary bladder is the most common urologic organ exposed to iatrogenic injury. The bladder trauma is classified into extra-peritoneal, intra-peritoneal, or combined trauma. Intra-peritoneal bladder injury is conventionally being treated with open surgical repair, mainly to explore the abdominal viscera for possible associated injuries and to insert peritoneal drain. One rare form of the iatrogenic bladder injury is catheter-related bladder injury which is very uncommon and only few cases were reported. It is mainly related to other associated medical conditions like cancer and chronic catheterization which might be causing subsequent bladder wall weakness. Therefore, it is important to collect more data about this rare type of bladder injury, particularly urethral catheterization which is one of the most common medical procedures. We present a 74-year-old male patient who developed acute kidney injury and was treated by urethral catheterization in the emergency department. The patient developed immediately severe abdominal pain. Non-contrast CT showed intra-peritoneal bladder perforation by the urethral catheter. The patient developed peritonitis and failed a trial of conservative management. Consequently, laparoscopic abdominal exploration and bladder repair was performed successfully.

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Section: Discussionmentioning

confidence: 99%