Dwyer Moira, Peffer Nathan, Fuller Thomas, Cannon Glenn
Childrens Hospital of Pittsburgh of the University of Pittsburgh Medical Center, Pittsburgh, PA; University of Pittsburgh Medical Center, Pittsburgh, PA; University of Pittsburgh School of Medicine, Pittsburgh, PA.
Temple University Health System, Philadelphia, PA.
Urology. 2016 Mar;89:134-6. doi: 10.1016/j.urology.2015.11.022. Epub 2015 Dec 4.
We present the case of an infant who suffered intraperitoneal bladder perforation secondary to routine neonatal circumcision with the Plastibell device. On day-of-life 5, the patient presented with abdominal distention, vomiting, diarrhea, and severe acute renal failure. After removal of a distal meatal obstruction caused by the Plastibell device and open repair of the bladder defect, the patient had an uneventful recovery with rapid return of renal function. Despite the relative safety of the Plastibell, this case underscores the importance of careful device placement, parental education, keen clinical judgment, and prompt intervention when indicated.
