1/5. Acute abdomen due to late retroperitoneal extravasation from a femoral venous catheter in a newborn.CONTEXT: The use of parenteral nutrition via a central venous catheter is a common practice in the neonatal intensive care setting. Extravasation of the infusate leading to an acute abdomen is a complication that has only rarely been documented. This report describes the case of a premature infant with a femoral catheter placed in the inferior vena cava, who developed an acute abdomen as a result of late retroperitoneal extravasation of parenteral nutrition. CASE REPORT: A pre-term infant receiving total parenteral nutrition via a femoral venous catheter developed an acute abdomen five days after the catheter placement. Extravascular catheter migration to the retroperitoneal space and extravasation of the infusate was diagnosed by contrast injection. Withdrawal of the catheter was followed by prompt cessation of the signs and full recovery from the acute abdomen, without the need for surgery. A review of the literature is presented, emphasizing the clinical and therapeutic aspects of this unusual complication from femoral venous catheterization and parenteral nutrition.- - - - - - - - - - ranking = 1keywords = catheterization (Clic here for more details about this article) |
2/5. Spontaneous rupture of the urinary bladder presenting as oliguric acute renal failure.A 64-year-old female was admitted to hospital for acute abdominal pain with ascites. The patient had received postoperative pelvic irradiation for carcinoma of the uterine cervix 7 years previously. serum creatinine (Scr) was elevated to 2.70 mg/dl, and urinary output was reduced to below 200 ml/day. cystoscopy revealed a small perforation from the bladder diverticulum. Following transurethral catheterization, urinary output was promptly increased, and Scr was returned to 0.65 mg/dl 4 days later. This rare case suggested that spontaneous rupture of the urinary bladder following postoperative radiotherapy could occur very late with laboratory features of oliguric acute renal failure.- - - - - - - - - - ranking = 1keywords = catheterization (Clic here for more details about this article) |
3/5. Bladder perforation secondary to clean intermittent catheterization.Clean intermittent catheterization has been an effective treatment for the management of patients with a neurogenic bladder during the last 15 years. Reported complication rates have been low and the majority of these problems have been minor. While significant problems are seen only rarely during clean intermittent catheterization, we recently diagnosed 2 potential life-threatening complications: bladder perforation and bladder necrosis. We present our experience with these major problems associated with routine clean intermittent catheterization.- - - - - - - - - - ranking = 7keywords = catheterization (Clic here for more details about this article) |
4/5. infarction of the gallbladder--an unusual cause of acute abdomen in the neonate.infarction of the gallbladder, while rare, must now be included in the growing list of possible and proven complications of umbilical artery catheterization.- - - - - - - - - - ranking = 1keywords = catheterization (Clic here for more details about this article) |
5/5. Acute abdomen masquerading as acute retention.Urologists should remain constantly alert for patients with acute abdominal emergencies who may be admitted under their care with the erroneous diagnosis of acute retention. These cases are not uncommon. The patients may be suffering from suppression of urine, or their inability to pass urine may be the predominant symptom of their intra-abdominal catastrophe. When catheterization has yielded only a small amount of concentrated urine and has failed to relieve the patient's discomfort, think of an acute abdomen, investigate this possibility and treat the patient accordingly.- - - - - - - - - - ranking = 1keywords = catheterization (Clic here for more details about this article) |