BMJ Case Reports 2018; doi:10.1136/bcr-2018-225160
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Misguided urinary catheter: an uncommon complication of a common solution

  1. Lakshman I Kongwad
  1. Department of Neurosurgery, Kasturba Medical College, Manipal, India
  1. Correspondence to Dr Ajay Hegde, dr.ajayhegde{at}
  • Accepted 2 April 2018
  • Published 13 April 2018


A 61-year-old man was wheeled in to our emergency triage bleeding profusely from his mouth and nose in an unconscious state. His Glasgow Coma Scale was 7 and was intubated for airway safety. A failed anterior nasal packing was followed by insertion of a Foley urinary catheter through the right nostril to secure posterior nasal packing and haemostasis. CT of the brain following nasal packing showed diffuse traumatic subarachnoid haemorrhage and basifrontal contusions with multiple fractures of the anterior cranial fossa, cribriform plate including the frontal sinus. Multiple specs of air in the frontal lobe was initially …

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