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Case Reports
. 2022 Nov:100:107750.
doi: 10.1016/j.ijscr.2022.107750. Epub 2022 Oct 13.

Unintended Foley's catheter placement into the ureter: A case report

Mohammad Al-Zubi  1 , Mazen Mohammad Falah Alheyassat  2 , Mohammed Alhasan  3 , Mohammad Hussein M Al-Qudah  4 , Morad Bani-Hani  5
Affiliations
Case Reports

Unintended Foley's catheter placement into the ureter: A case report

Mohammad Al-Zubi et al. Int J Surg Case Rep. 2022 Nov.

Abstract

Introduction: Foleys catheter insertion is among the most common urological procedures performed by urologists.

Case presentation: Here we present a case diagnosed with neurogenic bladder before 3 years and she was on long-term indwelling Foleys catheter since that due to urge incontinence and changes her catheter regularly every 10 to12 weeks, where the tip of the catheter was found in the right vesico-ureteric junction with hydronephrosis of the right kidney.

Discussion: The two most commonly encountered complications of Foley catheter placement are urethral injury and retention of the Foley balloon in the urethra. Misdirection of Foleys catheter into the ureter is a rare complication. Up to our knowledge, only twenty cases have been reported in literature.

Conclusion: One should keep in mind that inadvertent insertion into the ureter can occur, especially in female patients with neurogenic bladder.

Keywords: Foley's catheter; Incontinence; Neurogenic bladder; Ureteric injury.

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Conflict of interest statement

Declaration of competing interest All authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Non contrasted urinary CT scan showing the tip of the catheter in right vesico-ureteric junction with hydronephrosis of the right kidney.
See this image and copyright information in PMC

References

    1. Luo R., Lee S.L., Ng F.C., Koh L.T. Inadvertent placement of a urinary catheter into the ureter: a report of 3 cases and review of the literature. Asian J. Urol. 2017;4(4):256–561. - PMC - PubMed
    1. Agha R.A., Franchi T., Sohrabi C., Mathew G., Kerwan A. The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines. Int. J. Surg. 2020;84:226–230. - PubMed
    1. St Luce S., Ninan A.C., Hall J.A., Kimberl I.J., Petros J.A., Issa M.M. Role of transrectal ultrasonography in diagnosis and treatment of retained foley catheter. Urology. 2005;65(5):1001. - PubMed
    1. Papacharalabous E., Ford M., Butler-Manuel S., Tailor A. Inadvertent insertion of a foley’s catheter through the orifice of a duplex ureter during catheterisation for laparotomy. Gynecol. Surg. 2011;8(1):99–101.
    1. Ishikawa T., Araki M., Hirata T., Watanabe M., Ebara S., Watanabe T., et al. A rare complication: misdirection of an indwelling urethral catheter into the ureter. ma. 2014;68(1):47–51. - PubMed

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