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. 2017 Jan-Feb;11(1-2):E47-E49.
doi: 10.5489/cuaj.4050. Epub 2017 Jan 12.

A bulbar artery pseudoaneurysm following traumatic urethral catheterization

Mathieu Bettez  1 , Melanie Aubé  2 , Mohamed El Sherbiny  1 , Tatiana Cabrera  2 , Roman Jednak  1
Affiliations

A bulbar artery pseudoaneurysm following traumatic urethral catheterization

Mathieu Bettez et al. Can Urol Assoc J. 2017 Jan-Feb.

Abstract

Traumatic urethral catheterization may result in a number of serious complications. A rare occurrence is the development of a urethral pseudoaneurysm. We report the case of a 13-year-old male who required placement of a Foley catheter for an orthopedic surgical procedure. The Foley was misplaced in the bulbourethra, resulting in the development of a bulbar artery pseudoaneurysm. Profuse bleeding via the urethra was noted after removal of the catheter, and the patient experienced severe intermittent hematuria during the postoperative period. Cystoscopy revealed a pulsatile mass within the bulbourethra. Angiography confirmed a bulbar artery pseudoaneurysm, which was successfully embolized with resolution of bleeding.

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Figures

Fig. 1.
Fig. 1.
Pulsatile mass within the bulbar urethra, as seen during cystoscopy.
Fig. 2A
Fig. 2A
Subtraction angiography images of bulbar artery pseudoaneurysm.
Fig. 2B
Fig. 2B
Interruption of flow to the pseudoaneurysm following selective occlusion of the afferent vessel.
See this image and copyright information in PMC

References

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