Peritonitis and abdominal free air due to intraperitoneal bladder perforation associated with indwelling urethral catheter drainage.
Perforation of the bladder related to long-term indwelling Foley catheter drainage is a rare and serious complication. We report 2 cases of bladder perforation leading to generalized peritonitis and free intraperitoneal air. These cases re-emphasize the importance of considering bladder perforation in the differential diagnosis of the acute abdomen and of performing a complete abdominal exploration when the site of perforation is not easily detectable.
D000005:Abdomen; D000368:Aged; D000388:Air; D002408:Catheters, Indwelling / Q000009:adverse effects*; D006801:Humans; D008297:Male; D010538:Peritonitis / Q000000981:diagnostic imaging / Q000209:etiology*; D011860:Radiography, Abdominal; D014521:Urethra; D001743:Urinary Bladder / Q000000981:diagnostic imaging / Q000293:injuries*; D014546:Urinary Catheterization / Q000009:adverse effects*; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000209:etiology*