Extra-vesical urinary catheter placement

Case contributed by Dr Ian Bickle

Presentation

Palliative patient. Assessment for pelvic collection.

Patient Data

Age: 75
Gender: Male

Air within the subcutaneous soft tissues is seen of the right inguino-scrotal region extending upward along the anterior abdominal wall on the right indicating necrotizing fasciitis.

Mal-placement of the Foley balloon of the urinary catheter which is extra-vesicle, located in the recto-vesical pouch. Small hematoma is evident adjacent to it.

Distended urinary bladder with fullness of both pelvicalyceal systems.

Trace right subphrenic ascites and small right pleural effusion.

Vertebral body fractures.

Case Discussion

Incidental finding of a mal-placed urinary catheter.  Following CT findings the clinical notes indicated difficult catheterization and the use or a wire to secure 'insertion'.

Flexible cystoscopy was performed.  The urinary catheter was along a false passage undermining the bladder neck with the balloon in the recto-vesical pouch.

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Case information

rID: 54496
Published: 16th Aug 2017
Last edited: 14th Aug 2019
System: Urogenital
Inclusion in quiz mode: Included

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