title: Subcutaneous and scrotal emphysema following suprapubic cystostomy in a patient with colovesical fistula.
abstract: Subcutaneous and scrotal emphysema are rare complications of suprapubic cystostomy. We present here a rare case of an 81-year-old man with colovesical fistula who had severe subcutaneous and scrotal emphysema after percutaneous suprapubic cystostomy was performed. We inserted a new Foley catheter via the urethra, removed the suprapubic cystostomy and incised his scrotal emphysema for open drainage. The patient's subcutaneous emphysema slowly healed.
authors.affiliation: Division of Family Medicine, Department of Community Medicine, Changhua Christian Hospital, Changhua, Taiwan, R.O.C.
authors.forename: Hui-Lun
authors.initials: HL
authors.lastname: Huang
authors.forename: Chia-Chu
authors.initials: CC
authors.lastname: Chang
authors.forename: Chun-Chi
authors.initials: CC
authors.lastname: Chen
authors.forename: Tsu-Kei
authors.initials: TK
authors.lastname: Huang
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003559:Cystostomy / Q000009:adverse effects*; D004646:Emphysema / Q000209:etiology*; D006801:Humans; D007412:Intestinal Fistula / Q000601:surgery*; D008297:Male; D012611:Scrotum / Q000473:pathology*; D013352:Subcutaneous Emphysema / Q000209:etiology*