We present the case of a 9-year-old girl with a neurogenic bladder who had accidental ureteral cannulation with the vesical catheter during cytometry.
This is the first reported pediatric case described of this complication, the four prior cases all being in adults. The signs and symptoms of ureteral catheterization differed significantly in this patient from the adult cases. In our patient, malpositioning of the vesical catheter yielded a misleading pressure profile of primarily rhythmic pressure increases suggestive of severe detrusor overactivity and vesicoureteral reflux on fluoroscopy. The reading, however, actually reflected ureteric filling and peristalsis, and these findings resolved when the catheter was properly repositioned. This case highlights the possibility of inadvertent ureteral catheterization, and that, while rare, this complication should be kept in mind when new or unexpected DO or VUR is observed upon filling cystometry.
Written by:
Wolff GF, Smith PP. Are you the author?
Division of Urology, University of Connecticut Health Center, 263 Farmington Ave, Farmington, CT 06030, USA.
Reference: J Pediatr Urol. 2012 Sep 26. pii: S1477-5131(12)00219-7.
doi: 10.1016/j.jpurol.2012.08.010
PubMed Abstract
PMID: 23022154
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