Intraperitoneally placed Foley catheter via verumontanum initially presenting as a bladder rupture

J Korean Med Sci. 2011 Sep;26(9):1241-3. doi: 10.3346/jkms.2011.26.9.1241. Epub 2011 Sep 1.


Since urethral Foley catheterization is usually easy and safe, serious complications related to this procedure have been rarely reported. Herein, we describe a case of intraperitoneally placed urethral catheter via verumontanum presenting as intraperitoneal bladder perforation in a chronically debilitated elderly patient. A 82-yr-old male patient was admitted with symptoms of hematuria, lower abdominal pain after traumatic Foley catheterization. The retrograde cystography showed findings of intraperitoneal bladder perforation, but emergency laparotomy with intraoperative urethrocystoscopy revealed a tunnel-like false passage extending from the verumontanum into the rectovesical pouch between the posterior wall of the bladder and the anterior wall of the rectum with no bladder injury. The patient was treated with simple closure of the perforated rectovesical pouch and a placement of suprapubic cystostomy tube.

Keywords: Bladder Perforation; Complication; Intraperitoneal; Urethral Catheter.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged, 80 and over
  • Cystostomy
  • Humans
  • Male
  • Peritoneum
  • Rupture / diagnosis
  • Urinary Bladder / injuries*
  • Urinary Bladder / surgery*
  • Urinary Catheterization*