Double Whammy: Severe Necrotizing Soft Tissue Infection in the Setting of Extraperitoneal Bladder Injury from Prolonged Urinary Bladder Catheterization
Journal Title: International Journal of Surgery & Surgical Techniques - Year 2018, Vol 2, Issue 1
Abstract
Urinary bladder injury due to prolonged indwelling Foley catheter placement is reportedly rare but potentially lethal complication. Review of literature showed most of the urinary bladder injuries reported was intraperitoneal. This is the first reported case of extraperitoneal bladder injury from foley catheterization causing severe necrotizing soft tissue infections of the lower abdomen and groin area. The patient was initially managed by surgical debridement of infected soft tissue, IV antibiotics and indwelling Foley catheter. The extraperitoneal bladder injury eventually required surgical repair of the perforated site and the open wound managed with negative pressure dressing. The patient was discharged from the unit after a course of antibiotics which helped clear the infection.
Authors and Affiliations
Santos A*, John W and Paullus CP
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