Suprapubic (SP) catheterisation is commonly used for drainage of the bladder following pelvic surgery.
Although it is a widely employed procedure, it is not without complications, such as infection and blockage. The authors report a rare complication of SP catheterisation involving a persistent SP catheter site fistulous tract and an infected haematoma significantly complicating a patient's postoperative course. Wound debridement, bladder drainage and a prolonged course of antibiotics were employed to successfully treat this complication. The exact mechanism of her complication is only speculative, however to our knowledge no similar cases of a fistula after removal of a SP catheter used for short-term bladder drainage have been reported.
Written by:
Liang T, Lazare D, Schulz J, Flood C. Are you the author?
Obstetrics & Gynecology Department, University of Alberta, Edmonton, Canada.
Reference: BMJ Case Rep. 2012 Sep 7;2012. pii: bcr0220125758.
doi: 10.1136/bcr.02.2012.5758
PubMed Abstract
PMID: 22962370
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