Article Text
Summary
An 82-year-old male with multiple comorbidities, including previous laparotomies, had a suprapubic catheter (SPC) inserted under guidance with ultrasound and a flexible cystoscope. Three months following the procedure, having returned for a flexible cystoscopy for ongoing bladder pain syndrome, he became peritonitic postoperatively.
A CT scan and subsequent laparotomy confirmed the SPC to be passing through a section of terminal ileum. The bowel was resected and he recovered well after a long hospital admission. A literature search found this delayed presentation of bowel perforation following SPC insertion to be rare, with only a few other cases reported. In particular, previous abdominal surgery increases the risk of this complication. This case serves as a reminder of the rare but potentially significant risk of SPC insertion and unusually highlights that this may not present immediately.
- general surgery
- urological surgery
- catheterisation / catheter care
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Footnotes
Contributors TS contributed to the conception and design of the study. TS and NS were involved in the planning and data acquisition. TS, NS and EW were responsible for the conduct and reporting. Drafting article was done by TS and EW. All authors equally contributed to the revision of the article, final approval and agreed to be accountable for the work.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.