Haydarpasa Numune Med J. 2017; 57(3): 179-182 | DOI: 10.14744/hnhj.2017.25338

Temiz Aralýklý Kateterizasyona Baðlý Geliþen Ýntraperitoneal Mesane Perforasyonu Olgusu ve Literatürün Ýncelenmesi

Serkan Akan¹, Ahmet Ürkmez², Çaðlar Yýldýrým³, Özgür Haki Yüksel^3
1Saðlýk Bilimleri Üniversitesi, Sultan Abdülhamid Han Eðitim ve Araþtýrma Hastanesi, Üroloji Kliniði, Ýstanbul
²Haydarpaþa Numune Eðitim ve Araþtýrma Hastanesi, Üroloji Kliniði, Ýstanbul
³Fatih Sultan Mehmet Eðitim ve Araþtýrma Hastanesi, Üroloji Kliniði, Ýstanbul

Temiz aralýklý kateterizasyon uygulayan hastalarda, katetere baðlý mesane perforasyonu nadir görülen bir komplikasyondur. Biz burada 6 ay önce geçirdiði ateþli silah yaralanmasý sonrasý (servikal spinal kord hasarý) tetraplejik olan ve nörojenik mesane nedeniyle kazadan bu yana sondalý olup; son 5 gündür hasta yakýný tarafýndan TAK yapýlan 40 yasýnda erkek hastada oluþan ve akut abdomen bulgularý ile acile baþvuran mesane perforasyonu olgusunu raporladýk.

Anahtar Kelimeler: Kateterizasyon, mesane, perforasyon.

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Intraperitoneal Bladder Perforation Due to Clean Intermittent Catheterization: A Case Report and Literature Review

Serkan Akan¹, Ahmet Ürkmez², Çaðlar Yýldýrým³, Özgür Haki Yüksel^3
1Department of Urology, University of Health Sciences Sultan Abdülhamid Han Training and Research Hospital, Ýstanbul, Turkey
²Department of Urology, Haydarpaþa Numune Training and Research Hospital, Ýstanbul, Turkey
³Department of Urology, Fatih Sultan Mehmet Training and Research Hospital, Ýstanbul, Turkey

Catheter-related bladder perforation is a very rare complication in patients undergoing clean intermittent catheterization (CIC). Presently described is the case of a 40-year-old man who had been diagnosed as tetraplegic after a firearm injury (cervical spinal cord injury) 6 months earlier. As a result of neurogenic bladder, he had been permanently catheterized after the accident. CIC treatment was initiated with the help of a relative of the patient. Five days after the initiation of treatment, the patient was admitted to the emergency room with an acute abdomen and an intraperitoneal bladder perforation was diagnosed.

Keywords: Bladder, catheterization, clean, intermittent, perforation.

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ATIF KOPYALA