Unintended Foley's catheter placement into the ureter: A case report

Alzubi, Mohammad A.; Alheyassat, Mazen Mohammad Falah; Alhasan, Mohammed; Al-Qudah, Mohammad Hussein M.; Bani-Hani, Morad

doi:10.1016/j.ijscr.2022.107750

Cited by 2 publications

(1 citation statement)

References 17 publications

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“…The details of these cases are listed in Table 1. [6–44] Patient demographics and clinical characteristics are summarized in Tables 2 and 3.…”

Section: Literature Reviewmentioning

confidence: 99%

Inappropriate placement of urinary catheters into the ureter: A case report and literature review

Li,

2024

Medicine

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Objective: To emphasize preventive measures and outline management strategies for inadvertent ureteral cannulation. Methods: We present a case report and conduct a literature review of 39 case reports on ureteral cannulation, examining a total of 48 patients. Results: About 67% of the cases were female, and long-term catheterization was observed in 67% of the cases. Neurological conditions such as spinal cord injury (SCI), stroke, dementia, multiple sclerosis, and myasthenia gravis were the primary factors (48%) in ureteral cannulation. Symptoms included flank pain (46%), fever (31%), oliguria (27%), non-deflatable balloon issues (25%), hematuria (21%), abdominal pain (17%), urine leak (12.5%), and nausea/vomiting (8%). Complications varied, including acute pyelonephritis (35%), acute kidney injury (27%), urosepsis (21%), and ureter rupture (17%). Despite inadvertent catheter placement, 25% of patients had no complications. More than half of the patients (58%) were managed through catheter change, while 27% underwent cysto-ureteroscopy with or without balloon puncture or ureteral stenting. Additionally, 10% received interventional radiology procedures, 6.25% underwent surgical repair, and 4% underwent ultrasound-guided balloon puncture. Conclusions: Female gender, neurologic conditions, and long-term catheterization were identified as predominant risk factors. Early detection of ureteral cannulation can prevent severe complications, particularly in certain special populations such as patients with neurogenic bladder or SCI, who may have reduced sensation and expression capabilities.

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“…The details of these cases are listed in Table 1. [6–44] Patient demographics and clinical characteristics are summarized in Tables 2 and 3.…”

Section: Literature Reviewmentioning

confidence: 99%