J Korean Med Sci.  2008 Feb;23(1):161-162. 10.3346/jkms.2008.23.1.161.

Unusual Complication of Urethral Catheterization: A Case Report

Affiliations
  • 1Department of Urology, Chonnam National University Medical School and Research Institute of Medical Sciences, Gwangju, Korea. uropark@gmail.com

Abstract

We report an unusual complication caused by urethral catheterization. During a routine urethral catheter change in a 38-yr-old woman, a 14-Fr Foley catheter was accidentally placed into the right ureter through the ureteral orifice. The position of the catheter was confirmed by retrograde urogram through urethral catheter. Percutaneous nephrostomy was performed with subsequent proper replacement of a urethral catheter. Two weeks later, the injured ureter had healed without leakage or obstruction.

Keyword

Urinary Catheterization; Ureter; Complications

MeSH Terms

Adult
Female
Humans
*Ureter
Urinary Catheterization/*adverse effects

Figure

  • Fig. 1 Instillation of contrast media through a Foley catheter to assess proper positioning. The foley catheter tip was found in the right lower ureter, and there was extravasation of contrast media around the right ureter.

  • Fig. 2 (A) Antegrade urography shows proper positioning of the nephrostomy catheter and the injured ureter site. (B) Two weeks later, follow-up antegrade urography showed that the injured ureter was healed without leakage or obstruction.


Reference

1. Lowthian P. An uncommon complication of urethral catheterization. Br J Urol. 1996. 78:805.
2. St Luce S, Ninan AC, Hall JA, Kimberl IJ, Petros JA, Issa MM. Role of transrectal ultrasonography in diagnosis and treatment of retained Foley catheter. Urology. 2005. 65:1001.
Article
3. Merguerian PA, Erturk E, Hulbert WC, Davis RS, May A, Cockett AT. Peritonitis and abdominal free air due to intraperitoneal bladder perforation associated with indwelling urethral catheter drainage. J Urol. 1985. 134:747–750.
Article
4. O'Gorman S, O'Brien A, Leahy A, Butler MR, Keane FB. Rectovesical fistula due to indwelling catheter. Br J Urol. 1990. 65:424.
5. Lowthian P. Aberrant Foley catheter placement into the proximal right ureter. BJU Int. 2002. 90:475–476.
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