Peritonitis and Abdominal Free Air Due to Intraperitoneal Bladder Perforation Associated With Indwelling Urethral Catheter Drainage

Merguerian, Paul A.; Ertürk, Erdal; Hulbert, William C.; Davis, Robert S.; May, Allyn G.; Cockett, Abraham T.K.

doi:10.1016/s0022-5347(17)47422-2

Cited by 35 publications

(22 citation statements)

References 6 publications

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“…Serious complications such as bladder perforation and/ or peritonitis and retrovesical fistula have been reported (Merguerian et al, 1985;O'Gorman et al, 1990). Kim and Park (2008) reported a case similar to ours have 38 year old female.…”

Section: Discussionsupporting

confidence: 74%

Unusual Complication of Bladder Catheterization in Child: Catheterization of Ureter

Sekmenli

Çiftçi

2015

Prague Med. Rep.

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Abstract:Bladder probing is an invasive procedure that is often used by paediatric and other surgeons. We present a case who was ureter catheterized accidentally while placing a probe into the right ureter in an 18 months old female. If different catheter localization is determined during the examination, the process must be terminated immediately and the relevant specialist should be informed right away.Mailing Address: Ilhan Ciftci, MD.,

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Section: Discussionsupporting

confidence: 74%

Unusual Complication of Bladder Catheterization in Child: Catheterization of Ureter

Sekmenli

Çiftçi

2015

Prague Med. Rep.

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“…Intraperitoneal free air is a sign of gastrointestinal tract perforation, but this sign was also reported in a case of intraperitoneal perforation of the bladder, 12 showing that intraperitoneal free air can occur with ureter rupture, possibly because atmospheric air can enter the peritoneum through the opening of the closed drainage system.…”

Section: Discussionmentioning

confidence: 88%

Intraperitoneal Rupture of the Ureter as a Cause of Generalized Peritonitis: Report of a Case

et al. 2006

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We report a rare case of generalized peritonitis caused by nontraumatic, intraperitoneal rupture of the ureter. An 80-year-old woman with a history of bilateral vesicoureteral reflux and long-term urethral indwelling catheter drainage presented with a very distended abdomen. Computed tomography showed massive ascites and intraperitoneal free gas. We performed an emergency laparotomy, assuming a gastrointestinal perforation; but could not find a cause of generalized peritonitis. Postoperatively, she presented with anuria and massive peritoneal drainage. The findings of a cystogram confirmed intraperitoneal ureteral rupture. She was managed successfully with ureteral stenting. The diagnosis of this condition requires a high degree of clinical suspicion, along with radiographic evidence and peritoneal fluid analysis. Image-guided interventions play a crucial role in the management of ureteral urine leaks after a correct diagnosis has been made.

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“…Urinary bladder perforation has been reported secondary to various causes in neonates and children [1,2,3,4]. There are reports of bladder perforation in patients with Ehlers-Danlos syndrome [5,6], premature babies on ventilators with prolonged sedation [7], umbilical catheterization [8], children using clean intermittent catheterization [9], urinary bladder anomalies, and posterior urethral valves [10].…”

Section: Discussionmentioning

confidence: 99%

Urinary bladder perforation in a premature infant with Down syndrome

Basha

Subhani

Mersal

et al. 2003

Pediatric Nephrology

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Urinary bladder perforation due to bladder catheterization in neonates is a rare iatrogenic complication. It has been reported secondary to various causes and a variety of surgical settings in neonates. A case of urinary bladder perforation due to catheterization in a premature baby with Down syndrome, who presented with progressive renal failure and mild-to-moderate ascites, is reported. Urinary bladder perforation should be considered in a case of neonatal ascites with renal failure, which is unexplainable by other causes. We recommend that bladder catheterization in a baby with Down syndrome, whose urinary bladder may be at an increased risk for perforation as part of their generalized hypotonia, should be performed cautiously. To our knowledge, this is the first case report of bladder perforation due to urinary bladder catheterization in a case of Down syndrome.

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Peritonitis and Abdominal Free Air Due to Intraperitoneal Bladder Perforation Associated With Indwelling Urethral Catheter Drainage

Cited by 35 publications

References 6 publications

Unusual Complication of Bladder Catheterization in Child: Catheterization of Ureter

Unusual Complication of Bladder Catheterization in Child: Catheterization of Ureter

Intraperitoneal Rupture of the Ureter as a Cause of Generalized Peritonitis: Report of a Case

Urinary bladder perforation in a premature infant with Down syndrome

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