Urinary Catheter Causing Paracentesis-induced Circulatory Dysfunction
Case Presentation: A 78-year-old male was admitted to the hospital due to acute-on-chronic liver failure with spontaneous bacterial peritonitis. About six liters of a yellow, turbid fluid were collected via indwelling urinary catheter (UC) overnight. He subsequently developed neurological and cardia...
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Format: | Article |
Language: | English |
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eScholarship Publishing, University of California
2025-01-01
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Series: | Clinical Practice and Cases in Emergency Medicine |
Online Access: | https://escholarship.org/uc/item/7471n88c |
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author | José Guilherme Assis Joana Rua |
author_facet | José Guilherme Assis Joana Rua |
author_sort | José Guilherme Assis |
collection | DOAJ |
description | Case Presentation: A 78-year-old male was admitted to the hospital due to acute-on-chronic liver failure with spontaneous bacterial peritonitis. About six liters of a yellow, turbid fluid were collected via indwelling urinary catheter (UC) overnight. He subsequently developed neurological and cardiac dysfunctions. Imaging confirmed bladder perforation and intraperitoneal placement of the UC, establishing the diagnosis of paracentesis-induced circulatory dysfunction due to unintended ascitic fluid drainage. He was stabilized with albumin replacement. The UC was removed, and the bladder injury resolved spontaneously. Discussion: This case depicts a rare complication of urinary catheterization, which underscores the need for careful monitoring and prompt intervention to effectively manage unexpected catheter-related issues. |
format | Article |
id | doaj-art-ffa77c5470b24daa9173e80f421aecc1 |
institution | Kabale University |
issn | 2474-252X |
language | English |
publishDate | 2025-01-01 |
publisher | eScholarship Publishing, University of California |
record_format | Article |
series | Clinical Practice and Cases in Emergency Medicine |
spelling | doaj-art-ffa77c5470b24daa9173e80f421aecc12025-02-04T17:35:18ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2025-01-019110510610.5811/cpcem.24869cpcem-9-105Urinary Catheter Causing Paracentesis-induced Circulatory DysfunctionJosé Guilherme Assis0Joana Rua1Centro Hospitalar de Trás-os-Montes e Alto Douro, Department of Medicine, Vila Real, PortugalCentro Hospitalar de Trás-os-Montes e Alto Douro, Department of Medicine, Vila Real, PortugalCase Presentation: A 78-year-old male was admitted to the hospital due to acute-on-chronic liver failure with spontaneous bacterial peritonitis. About six liters of a yellow, turbid fluid were collected via indwelling urinary catheter (UC) overnight. He subsequently developed neurological and cardiac dysfunctions. Imaging confirmed bladder perforation and intraperitoneal placement of the UC, establishing the diagnosis of paracentesis-induced circulatory dysfunction due to unintended ascitic fluid drainage. He was stabilized with albumin replacement. The UC was removed, and the bladder injury resolved spontaneously. Discussion: This case depicts a rare complication of urinary catheterization, which underscores the need for careful monitoring and prompt intervention to effectively manage unexpected catheter-related issues.https://escholarship.org/uc/item/7471n88c |
spellingShingle | José Guilherme Assis Joana Rua Urinary Catheter Causing Paracentesis-induced Circulatory Dysfunction Clinical Practice and Cases in Emergency Medicine |
title | Urinary Catheter Causing Paracentesis-induced Circulatory Dysfunction |
title_full | Urinary Catheter Causing Paracentesis-induced Circulatory Dysfunction |
title_fullStr | Urinary Catheter Causing Paracentesis-induced Circulatory Dysfunction |
title_full_unstemmed | Urinary Catheter Causing Paracentesis-induced Circulatory Dysfunction |
title_short | Urinary Catheter Causing Paracentesis-induced Circulatory Dysfunction |
title_sort | urinary catheter causing paracentesis induced circulatory dysfunction |
url | https://escholarship.org/uc/item/7471n88c |
work_keys_str_mv | AT joseguilhermeassis urinarycathetercausingparacentesisinducedcirculatorydysfunction AT joanarua urinarycathetercausingparacentesisinducedcirculatorydysfunction |