Terminal ileum perforation from a misplaced percutaneous suprapubic cystostomy.
Iatrogenic bowel injury is a recognized complication of percutaneous suprapubic cystostomy. In the present report, we report an unusual case of small bowel perforation caused by a misplacement of suprapubic catheter into terminal ileum. For safe placement of a suprapubic catheter, the patients must have an adequately distended bladder and be placed in Trendelenburg position that allows safe extraperitoneal puncture of the bladder.
Wu
Chin-Chu
CC
Department of Medical Imaging, Shin Kong, Wu Ho-Su Memorial Hospital, 95 Wen Chang Road, Taipei, Taiwan 111.
Su
Cheng-Tau
CT
Lin
Aming Chor-Ming
AC
D000368:Aged; D002408:Catheters, Indwelling / Q000009:adverse effects*; D003559:Cystostomy / Q000009:adverse effects*; D006801:Humans; D007082:Ileum / Q000293:injuries*; D007416:Intestinal Perforation / Q000209:etiology*; D007431:Intraoperative Complications; D008297:Male