Suprapubic cystostomy (SPC) can be done by open or percutaneous technique. The procedure is considered simple and generally safe even in less experienced hands. However, some complications may arise occasionally, including bowel injury. We report a 60-year-old man who presented with acute-on-chronic urinary retention 6 months after a SPC in a peripheral hospital for chronic urinary retention. The catheter was draining scanty turbid fluid and was changed regularly. Abdominal exploration revealed an intact full bladder with the supposed suprapubic catheter passing through a small perforation into the jejunum. He had repair of the perforation and proper SPC was inserted. The recovery was uneventful, and he was discharged home after a week.

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