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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Main Authors: José Guilherme Assis, Joana Rua
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2025-01-01
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.
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publisher eScholarship Publishing, University of California
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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