First Irish and tenth case of small bowel obstruction secondary to suprapubic catheterisation in the world. Case report and case review of a rare complication of suprapubic catheterisation

Abstract

HighlightsWe are reporting a very rare complication of suprapubic catheterisation that is small bowel obstruction.Our case is first Irish and 10th global case of small bowel obstruction secondary to SPC.We also searched the literature to find similar reported cases to extract useful information from these cases, use this information to draw conclusions and make recommendations to avoid injuries in future.We found that significantly distended bladder, use of ultrasound and extra precaution in elderly patients can reduce the risk of damage to bowel.

Suprapubic catheter placement through ileal mesentery causes mechanical small bowel obstruction six years later in a female patient with turners syndrome

“… 3 To our knowledge, this is only the fourth case reported where the catheter punctured the bowel mesentery and caused small bowel obstruction by entrapping a loop of bowel between the catheter and abdominal wall. 4 However, this is the first case reported where six years had passed between the initial time of catheter insertion and discovery of small bowel obstruction related to the catheter. We suspect that the initial punch used to insert the catheter must have traversed through the mesentery and into the bladder but avoided the major blood vessels in the mesentery, which is how the affected segment of bowel remained viable for many years following the tube placement.…”

More on Suprapubic Catheters and Peritoneal Dialysis

“…When she reached end-stage kidney disease, she opted for PD. To ascertain the extraperitoneal position of the PSPC, magnetic resonance imaging (MRI) of the lower abdomen was employed, as intraperitoneal malposition could have caused leakage or infections and can manifest late with mechanical complications (2). As clearly demonstrated in Figure 1, the catheter was located outside the peritoneal cavity.…”

“…abdomen was employed, as intraperitoneal malposition could have caused leakage or infections and can manifest late with mechanical complications (2). As clearly demonstrated in Figure 1, the catheter was located outside the peritoneal cavity.…”