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Nov 20, 2023Keywords:
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References
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Main Article Content
An unusual and preventable complication of vascular injury following Supra-pubic catheter placement in a resource poor setting A case report and literature review
Abstract
Background: Vascular injury though uncommon is a fatal complication of suprapubic catheter placement. This case report is novel in that it describes an iatrogenic injury to the vesical venous plexus caused by an inexperienced health personnel during suprapubic catheter insertion. Thus, the need to be mindful of such complication and the importance of training and retraining of health workers.
Case presentation: A.A, 45year old male presented following a referral from another facility with features consistent with clot retention and anaemia secondary to post-suprapubic cystostomy and BPE. He subsequently had blood transfusion and bladder exploration with intraoperative findings of clots at the retropubic space and venous bleedings from the vesical plexus. He had clot evacuation and hemostatsis of bleeding vessels by figure of 8 suturing technique with SPC catheter placement.
Conclusion: Vascular injury though less common is the most feared complication of SPC. Notable causes of intra-operative difficulties encountered include a small collapsed/contracted bladder, and surgical scarring of the lower abdominal wall. Younger and inexperienced Surgeons are advised to call for help when faced with intra-operative difficulties during the procedure.
