Intraperitoneal Rupture of the Bladder after Urinary Catheterization

Jambet, Sophie; Facy, Olivier; Landreau, Pierre; Duperron, C.; Kretz, Benjamin

doi:10.4081/cp.2011.e109

Cited by 5 publications

(7 citation statements)

References 5 publications

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“…Not only may bladder damage occur during labor due to the lack of catheterization but also due to inadequate catheterization. Few cases of rupture after urinary catheterization without other predisposing factors have been described in the literature [28]. Four of these happened during labor vesical catheterization.…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous Bladder Rupture after Normal Vaginal Delivery: Description of a Rare Complication and Systematic Review of the Literature

et al. 2021

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Objective: To identify the possible causes of spontaneous bladder rupture after normal vaginal delivery and to propose a diagnostic and therapeutic algorithm. Material and Methods: MEDLINE (PubMed), Web of Science and Scopus databases were searched up to August 2020. Manuscripts considered were published from 1990 and only English articles were included. The research strategy adopted included the following terms: (bladder rupture) AND (spontaneous) AND (delivery). 103 studies were identified. Duplicates were found through an independent manual screening. Subsequently, two authors independently screened the full text of articles and excluded those not pertinent to the topic. Discrepancies were resolved by consensus. Finally, thirteen studies were included. Results: PRISMA guidelines were followed. For each study, fetal weight, catheterization during labor, parity, maternal age, occurrence time, previous abdominal or pelvic surgery, symptoms complained of, diagnostic methods, and treatment were considered. Median age was 26.0 (range 20–34 years); median presentation time was 3.0 days after delivery (range 1–20 days); and median newborn weight was 3227.0 g (range 2685–3600 g). Catheterization during labor was reported only in four of the thirteen cases (30.8%) identified. The symptoms most frequently complained of were abdominal pain and distension, fever, oliguria, haematuria and vomiting. Instrumental diagnosis was performed using X-rays in five cases and computerized tomography in six cases. Ultrasound was chosen in five cases as a first diagnostic tool. In two cases, cystography was performed. Treatment was always laparotomic repair of the visceral defect. Conclusion: Abdominal pain, increased creatinine and other signs of kidney failure on blood tests should lead to suspicion of this complication. Cystourethrography is regarded as a procedure of choice, but a first ultrasound approach is recommended. The main factor for the therapeutic choice is the intraperitoneal or extraperitoneal rupture of the bladder. Classical management for intraperitoneal rupture of the bladder is surgical repair and urinary rest.

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Section: Discussionmentioning

confidence: 99%

“…Retroperitoneal bladder rupture is commonly treated with bladder catheterization for 10 days. The classical treatment for intraperitoneal bladder rupture is surgical repair and urinary rest [28].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Bladder Rupture after Normal Vaginal Delivery: Description of a Rare Complication and Systematic Review of the Literature

et al. 2021

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“…Jambet et al reported a case of catheter-induced intra-peritoneal perforation in a vasculopath who developed urinary retention following a vascular procedure [ 8 ]. The authors reported that the patient pulled his catheter on two occasions due to alcohol withdrawal resulting in abdominal pain.…”

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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“…Although there are those who support emergency laparotomy in the treatment of the bladder perforation, there are also authors who support that the conservative treatment must be applied primarily. 5,15 While especially retroperitoneal perforations are mostly treated conservatively, a surgical operation is mostly needed in intraperitoneal perforations. 1,6 Moreover, there are those who prefer the conservative approach in the intraperitoneal perforation.…”

Section: Discussionmentioning

confidence: 99%

“…2,3 Although foley catheterization in of the bladder is a widespread and safe operation, the bladder perforation developing due to catheterization is reported in a few cases in the literature. 4,5 We aimed to introduce an interes-An Interesting Complication After the Transurethral Bladder Tumor Resection: Inflated Catheter Balloon Out of the Bladder A AB BS S T TR RA AC CT T Sixty five years old male patient who has been applied transurethral resection of bladder tumor (TUR-BT) and has been followed with an urethral catheter for three days. After removing the catheter, he has admitted to the emergency service with acute urinary retention and abdominal pain.…”

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confidence: 99%