Double Whammy: Severe Necrotizing Soft Tissue Infection in the Setting of Extra Peritoneal Bladder Injury from Prolonged Urinary Bladder Catheterization

Authors: Santos A*, John W and Paullus CP

DOI: 10.23880/ijsst-16000111

Volume 2, Issue 1

Abstract

Urinary bladder injury due to prolonged indwelling Foley catheter placement is reportedly rare but potentially lethal complication. Review of literature showed most of the urinary bladder injuries reported was intraperitoneal. This is the first reported case of extra peritoneal bladder injury causing severe necrotizing soft tissue infection of the lower abdomen and groin area. The patient was initially managed by surgical debridement of infected soft tissue, IV antibiotics and indwelling Foley catheter. The extra peritoneal bladder injury eventually required surgical repair of the perforated site and open wound managed with negative pressure dressing. The patient was discharged from the unit after a course of antibiotics which helped clear the infection.

Keywords: Peritoneal Bladder Injury; Urinary Bladder; Hypothyroidism

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