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American Journal of Medical Case Reports. 2023, 11(5), 104-106
DOI: 10.12691/AJMCR-11-5-6
Case Report

Iatrogenic Rectal Perforation During Urethral Foley Catheterization

Mohammed A. M. El Habiel1, , Mohammed Hidayathullah Khan2 and Javereeya Abduljabbar3

1General Surgery Resident, Tawam Hospital- Al Ain- U.A.E

2Consultant Urology, Tawam Hospital- Al Ain- U.A.Ey

3Urology Resident, Tawam Hospital- Al Ain- U.A.E

Pub. Date: June 29, 2023

Cite this paper

Mohammed A. M. El Habiel, Mohammed Hidayathullah Khan and Javereeya Abduljabbar. Iatrogenic Rectal Perforation During Urethral Foley Catheterization. American Journal of Medical Case Reports. 2023; 11(5):104-106. doi: 10.12691/AJMCR-11-5-6

Abstract

Foley catheterization is a common daily procedure done in our practice. Iatrogenic rectal perforation during urethral Foley catheterization is a very rare complication. There are multiple underlying risk factors that can lead to this devastating complication, including friable rectal tissues due to underlying trauma, radiation. Additionally, the type of Foley catheter and the technique of insertion can lead to this complication. The presentation of the patient is always alarming and can aid in making the diagnosis. The management, always, depends on the whole patient clinical condition, and it ranges from conservative management and changing the catheter under vision, to laparotomy and rectal perforation repair. We are presenting a case report of a comorbid patient suffered this complication in our facility.

Keywords

iatrogenic, rectal perforation, urethral Foley catheterization

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  J. Meddings, M. A. M. Rogers, S. L. Krein, M. G. Fakih, R. N. Olmsted, and S. Saint, “Reducing unnecessary urinary catheter use and other strategies to prevent catheter-associated urinary tract infection: an integrative review,” Safety, vol. 23, no. 4, pp. 277-289, 2014.
 
[2]  Warren JW. Catheter-associated urinary tract infections. Int J Antimicrob Agents. 2001; 17(4): 299-303.
 
[3]  Weinstein JW, Mazon D, Pantelick E, Reagan-Cirincione P, Dembry LM, Hierholzer WJ,Jr. A decade of prevalence surveys in a tertiary-care center: Trends in nosocomial infection rates, device utilization, and patient acuity. Infect Control Hosp Epidemiol. 1999; 20(8): 543-548.
 
[4]  K. H. Dellimore, A. R. Helyer, and S. E. Franklin, “A scoping review of important urinary catheter induced complications,” Journal of Materials Science: Materials in Medicine, vol. 24, no. 8, pp. 1825-1835, 2013.
 
[5]  A. M. Leuck, D. Wright, L. Ellingson, L. Kraemer, M. A. Kuskowski, and J. R. Johnson, “Complications of Foley catheters--is infection the greatest risk?” The Journal of Urology, vol. 187, no. 5, pp. 1662-1666, 2012.
 
[6]  Kashfi L, Messer K, Barden R et al.. Incidence and prevention of iatrogenic urethral injuries. J Urol 2008; 179: 2254-7.
 
[7]  Kass-Iliyya A, Morgan K, Beck R, Iacovou J. Bowel injury after a routine change of suprapubic catheter. BMJ Case Rep. 2012; 2012:pii: bcr2012006524.
 
[8]  Bonasso PC, Lucke-Wold B, Khan U. Small Bowel Obstruction Due to Suprapubic Catheter Placement. Urology Case Rep. 2016; 7: 72-73.
 
[9]  Amend G, Morganstern BA, Salami SS, Moreira DM, Yaskiv O, Elsamra S. Acute bladder and small bowel perforation as a complication of Foley catheterization. Urol. 2014; 83: 5-6.
 
[10]  M. Venerito, K. Mönkemüller, S. Rickes, and P. Malfertheiner, “Gastrointestinal: radiation proctitis,” Journal of Gastroenterology and Hepatology, vol. 22, no. 5, p. 761-, 2007.
 
[11]  F. Ali and K. Y. Hu, “Evaluation and management of chronic radiation proctitis,” Diseases of the Colon and Rectum, vol. 63, no. 3, pp. 285-287, 2020.
 
[12]  Martínez-Piñeiro L, Djakovic N, Plas E et al.. EAU guidelines on urethral trauma. Eur Urol 2010; 57: 791-803.