Ureteral rupture from aberrant Foley catheter placement: a case report.
We present the case of a 59 year old female with history of severe neurologic dysfunction from advanced multiple sclerosis who presented with lethargy and oliguria several hours after urethral Foley catheterization. A contrast-enhanced CT scan of the abdomen/pelvis showed an aberrantly placed Foley catheter with its balloon inflated in the proximal left ureter, a rare complication of Foley catheterization with only 5 other cases reported. Incomplete ureteral rupture was demonstrated and confirmed by a followup CT scan in the urographic phase. One of our institution's Interventional Radiologists then placed a nephroureteral stent across the injured ureter to facilitate healing. The patient expired 9 days after the procedure from unrelated sepsis from a chronic stage IV decubitus ulcer, so long term monitoring could not be performed. Following description of our case, we conduct a literature review of presentations, imaging characteristics, and treatment of ureteral Foley catheter placement.
Department of Radiology, Stony Brook University Medical Center, Stony Brook, NY 11794, USA. Kevin.Baker@sbumed.org
Kevin S
KS
Baker
Bari
B
Dane
Yudell
Y
Edelstein
Ajay
A
Malhotra
Elaine
E
Gould
D017809:Fatal Outcome; D005260:Female; D006801:Humans; D019300:Medical Errors; D008875:Middle Aged; D009846:Oliguria / Q000209:etiology; D012421:Rupture / Q000209:etiology; D014057:Tomography, X-Ray Computed; D014513:Ureter / Q000293:injuries*; D014546:Urinary Catheterization / Q000009:adverse effects* / Q000295:instrumentation
Foley; Ureteral Foley placement; interventional radiology case report; ureter; ureteral rupture; urinary obstruction