J Korean Med Sci.  2011 Sep;26(9):1241-1243. 10.3346/jkms.2011.26.9.1241.

Intraperitoneally Placed Foley Catheter via Verumontanum Initially Presenting as a Bladder Rupture

• Raheem OA
• Jeong YB

• KMID: 1779402
• DOI: http://doi.org/10.3346/jkms.2011.26.9.1241

Abstract

Since urethral Foley catheterization is usually easy and safe, serious complications related to this procedure have been rarely reported. Herein, we describe a case of intraperitoneally placed urethral catheter via verumontanum presenting as intraperitoneal bladder perforation in a chronically debilitated elderly patient. A 82-yr-old male patient was admitted with symptoms of hematuria, lower abdominal pain after traumatic Foley catheterization. The retrograde cystography showed findings of intraperitoneal bladder perforation, but emergency laparotomy with intraoperative urethrocystoscopy revealed a tunnel-like false passage extending from the verumontanum into the rectovesical pouch between the posterior wall of the bladder and the anterior wall of the rectum with no bladder injury. The patient was treated with simple closure of the perforated rectovesical pouch and a placement of suprapubic cystostomy tube.

Keyword

Urethral Catheter; Complication; Bladder Perforation; Intraperitoneal

MeSH Terms

Aged, 80 and over
Cystostomy
Humans
Male
Peritoneum
Rupture/diagnosis
Urinary Bladder/*injuries/*surgery
*Urinary Catheterization

Figure

• 

  Fig. 1 Images of the bladder and catheter. (A) Retrograde cystography showed extravasation of the contrast media into the peritonem (arrow heads) and a Foley catheter balloon which was placed in peritoneal cavity (arrows). (B) Cystoscopic view showed a false pathway like a tunnel between bladder and rectum (arrow heads) from verumontanum to the rectovesical pouch (arrows).

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