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Case Reports
. 2016 May 3;3(4):407-410.
doi: 10.1002/ams2.209. eCollection 2016 Oct.

Life-threatening urethral hemorrhage after placement of a Foley catheter in a patient with uroseptic disseminated intravascular coagulation due to chronic urinary retention induced by untreated benign prostatic hyperplasia

Yukihiro Ikegami  1 , Keisuke Yoshida  1 , Tsuyoshi Imaizumi  1 , Tsuyoshi Isosu  1 , Shin Kurosawa  1 , Masahiro Murakawa  1
Affiliations
Case Reports

Life-threatening urethral hemorrhage after placement of a Foley catheter in a patient with uroseptic disseminated intravascular coagulation due to chronic urinary retention induced by untreated benign prostatic hyperplasia

Yukihiro Ikegami et al. Acute Med Surg. .

Abstract

Case: A 77-year-old man with severe septic disseminated intravascular coagulation following urinary infection was transported to our hospital. He had developed urinary retention induced by untreated prostatic hyperplasia. Immediate drainage with a Foley catheter was successfully carried out, but the hematuria progressed to life-threatening hemorrhage.

Outcome: Complete hemostasis was impossible by surgical treatment because the tissue around the prostatic urethra was very fragile and hemorrhagic. Organized treatments (continuous hemodiafiltration combined with polymyxin-B immobilized fiber column hemoperfusion and systemic treatment with antibiotics and coagulation factors) were commenced soon after the operation. The patient eventually recovered from the septic disseminated intravascular coagulation.

Conclusion: This case report illustrates the risk of placement of Foley catheters in patients with severe septic disseminated intravascular coagulation.

Keywords: Benign prostatic hyperplasia; PMX; chronic urinary retention; septic DIC; urethral hemorrhage.

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Figures

Figure 1
Figure 1
Cystoscopy in a 77‐year‐old man with severe septic disseminated intravascular coagulation following urinary infection. After drainage with a Foley catheter, hematuria progressed to massive diffuse hemorrhage in the prostatic urethra.
Figure 2
Figure 2
Laboratory findings showed remarkable improvement of renal function and coagulation.
See this image and copyright information in PMC

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