Obstructive pyelonephritis caused by the accidental malpositioning of a urethral catheter into the ureter: A case report

Background: Indwelling urethral catheters can sometimes be accidently inserted into the ureter, which impedes urine flow. Case report: We report a 74-year-old Japanese woman with neurogenic bladder who visited to our hospital due to fever. She was diagnosed as pyelonephritis based on her symptoms an...

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Bibliographic Details
Published in:JEM Reports 2023-06, Vol.2 (2), p.100041, Article 100041
Main Authors: Ito, Hiroshi, Nakashima, Toshiya, Oshida, Jura, Kodama, Taisuke, Fukui, Sayato, Kobayashi, Daiki
Format: Article
Language:English
Subjects:
Accidental malpositioning
Pyelonephritis
Ureter
Urethral catheter
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Summary:Background: Indwelling urethral catheters can sometimes be accidently inserted into the ureter, which impedes urine flow. Case report: We report a 74-year-old Japanese woman with neurogenic bladder who visited to our hospital due to fever. She was diagnosed as pyelonephritis based on her symptoms and laboratory findings, including pyuria. Abdominal computed tomographic scan showed an indwelling urethral catheter accidently malpositioned into a right ureter, caused ureteral dilatation, and hydronephrosis. Her urethral catheter was replaced, and she was successfully treated with piperacillin-tazobactam and cefotiam. Why should an emergency physician be aware of this?: Urethral catheter malpositioning into the ureter may be asymptomatic and overlooked in patients with neurogenic bladder, which can result in obstructive pyelonephritis. Prompt urethral catheter replacement is essential in treating such conditions.
ISSN:2773-2320
2773-2320
DOI:10.1016/j.jemrpt.2023.100041