Department of Emergency Medicine, The George Washington University School of Medicine and Health Sciences, Washington, DC, United States.
Department of Emergency Medicine, The George Washington University School of Medicine and Health Sciences, Washington, DC, United States.
Am J Emerg Med. 2022 Jun;56:395.e5-395.e7. doi: 10.1016/j.ajem.2022.03.031. Epub 2022 Mar 18.
Complications of suprapubic catheterization including acute urinary retention present often to the emergency department. Patients with chronic indwelling catheters are at increased risk of bladder calculi and recurrent infections, especially without appropriate follow up care. We describe a case of suprapubic catheter failure secondary to complete circumferential encrustation of the distal catheter tip by a bladder calculus. This case demonstrates the need for thorough evaluation of any case of catheter dysfunction and for careful consideration of bladder calculi in those patients at risk.
耻骨上导尿管相关并发症包括急性尿潴留，常到急诊科就诊。长期留置导尿管的患者发生膀胱结石和反复感染的风险增加，尤其是在没有适当随访的情况下。我们描述了一例因膀胱结石完全环绕导尿管尖端而导致耻骨上导尿管失败的病例。该病例表明，对于任何导管功能障碍的情况都需要进行彻底评估，并在存在风险的患者中仔细考虑膀胱结石的可能性。
