Abstract
Urinary bladder perforation due to bladder catheterization in neonates is a rare iatrogenic complication. It has been reported secondary to various causes and a variety of surgical settings in neonates. A case of urinary bladder perforation due to catheterization in a premature baby with Down syndrome, who presented with progressive renal failure and mild-to-moderate ascites, is reported. Urinary bladder perforation should be considered in a case of neonatal ascites with renal failure, which is unexplainable by other causes. We recommend that bladder catheterization in a baby with Down syndrome, whose urinary bladder may be at an increased risk for perforation as part of their generalized hypotonia, should be performed cautiously. To our knowledge, this is the first case report of bladder perforation due to urinary bladder catheterization in a case of Down syndrome.
References
Farraye MJ, Seaberg D (2000) Indwelling foley catheter causing extraperitoneal bladder perforation. Am J Emerg Med 18:497–500
Merguerian PA, Erturk E, Hulbert WC Jr, Davis RS, May A, Cocket AT (1985) Peritonitis and abdominal free air due to intraperitoneal bladder perforation associated with indwelling urethral catheter drainage. J Urol 134:747–750
Redman JF, Seibert JJ, Arnold W (1979) Urinary ascites in children due to extravasation of urine from the bladder. J Urol 122:409–411
Kay R, Brereton RJ, Johnson JH (1980) Urinary ascites in the newborn. Br J Urol 52:451–454
Jorion JL, Michel M (1999) Spontaneous rupture of bladder diverticula in a girl with Ehlers-Danlos syndrome. J Pediart Surg 33:483–484
Schippers E, Dittler HJ (1989) Multiple hollow organ dysplasia in Ehlers-Danlos syndrome. J Pediatr Surg 24:1181–1183
Salama H, AljuFairy M, Rejjal A, Al-Alayan S (2002) Urinary bladder perforation in a very low birth weight infant. A case report. J Perinat Med 30:188–191
Kaufman JM, Pai S, Austin TL, Macpherson RI (1983) Neonatal bladder injury occurring after umbilical catheterization by cutdown. JAMA 250:2968–2970
Reisman EM, Preminger GM (1989) Bladder perforation secondary to clean intermittent catheterization. J Urol 142:1316–1317
Sahdev S, Jhavery RC, Vohra K, Khan AJ (1977) Congenital bladder perforation and urinary ascites caused by posterior urethral valve: a case report. J Perinatol 17:164–165
Milles G (1965) Catheter-induced hemorrhagic pseudopolyps of the urinary bladder. JAMA 193:968–969
O'Brien WJ, Ryckman FC (1994) Catheter-induced urinary bladder rupture presenting with pneumoperitonium. J Pediat Surg 29:1397–1398
Hyens CF, Rimington PD (1987) Intraperitoneal rupture of bladder causing the biochemical features of renal failure. Br J Urol 60:217–222
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Basha, M., Subhani, M., Mersal, A. et al. Urinary bladder perforation in a premature infant with Down syndrome. Pediatr Nephrol 18, 1189–1190 (2003). https://doi.org/10.1007/s00467-003-1239-5
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DOI: https://doi.org/10.1007/s00467-003-1239-5