Lockhart Kathleen Rebecca, White Eric, Malouf David
St George Hospital, South Eastern Sydney Local Health District, Gray St, Kogarah NSW, 2217, Australia.
Urol Case Rep. 2020 Oct 8;34:101446. doi: 10.1016/j.eucr.2020.101446. eCollection 2021 Jan.
A healthy 25 year old woman presented with acute urinary retention following alcohol ingestion. A 14 french foley catheter drained over 1 L of haematuria immediately. Due to worsening and persistent abdominal pain, CT and ultrasound imaging was performed, demonstrating only a small amount of free fluid. Diagnostic laparoscopy revealed an intraperitoneal bladder perforation with the foley catheter visible. The bladder defect was repaired and she recovered well. This is a rare case of likely iatrogenic bladder perforation from simple catheterisation without predisposing comorbidities, highlighting the importance of correct technique and awareness of potential complications.
一名25岁健康女性在饮酒后出现急性尿潴留。一根14法式的 Foley 导管立即引出了超过1升的血尿。由于腹痛加剧且持续，进行了CT和超声检查，仅显示少量游离液体。诊断性腹腔镜检查发现腹膜内膀胱穿孔，可见 Foley 导管。膀胱缺损得以修复，她恢复良好。这是一例罕见的可能因简单插管导致的医源性膀胱穿孔病例，且无诱发合并症，凸显了正确操作技术以及认识潜在并发症的重要性。
