title: [Obstructive pyelonephritis caused by ureteral orifice catheterization with a bladder catheter].
abstract: This article reports a rare case of acute pyelonephritis secondary to left ureteral obstruction by a bladder catheter. The patient was 93years old man hospitalized in the hospital emergency department with a 39°C fever and pyuria from an indwelling catheter. Blood test found hyperleukocytosis, inflammatory syndrome and acute renal failure. Diagnosis was confirmed by non-contrast abdominal CT scan showing distal part of the catheter inside left ureteral orifice with ureterohydronephrosis. Treatment consisted in replacing the catheter by a three-way catheter for irrigation and parenteral antibiotics therapy. Clinico-biological evolution was successful and a urinary tract CT scan could be realized at day 9. The left upper urinary tract function was recovered. With a short review of the literature we propose to describe the different procedures to manage those obstructions.
authors.affiliation: Service d'urologie, centre hospitalier d'Ajaccio, 27, avenue Impératrice-Eugénie, 20023 Ajaccio, France. Electronic address: p.damien.arnaud@ch-ajaccio.fr.
authors.forename: P
authors.initials: P
authors.lastname: Arnaud
authors.affiliation: Service d'urologie, hôpital de l'Archet 2, CHU de Nice, 151, route de Saint-Antoine-de-Ginestière, 06200 Nice, France.
authors.forename: X
authors.initials: X
authors.lastname: Carpentier
authors.affiliation: Service d'imagerie médicale, centre hospitalier d'Ajaccio, 27, avenue Impératrice-Eugénie, 20023 Ajaccio, France.
authors.forename: F
authors.initials: F
authors.lastname: Pedulla
authors.affiliation: Service d'urologie, centre hospitalier d'Ajaccio, 27, avenue Impératrice-Eugénie, 20023 Ajaccio, France.
authors.forename: M
authors.initials: M
authors.lastname: Sandid
authors.affiliation: Service d'urologie, centre hospitalier d'Ajaccio, 27, avenue Impératrice-Eugénie, 20023 Ajaccio, France.
authors.forename: F
authors.initials: F
authors.lastname: Pernin
mesh_terms: D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002408:Catheters, Indwelling / Q000009:adverse effects*; D006801:Humans; D008297:Male; D011704:Pyelonephritis / Q000150:complications / Q000209:etiology*; D016896:Treatment Outcome; D014517:Ureteral Obstruction / Q000209:etiology* / Q000628:therapy*; D014546:Urinary Catheterization / Q000295:instrumentation / Q000379:methods
chemical_list: D000900:Anti-Bacterial Agents
keywords: Acute pyelonephritis; Bladder catheter; Obstruction urétérale; Pyélonéphrite aiguë; Sonde vésicale; Ureteral obstruction