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Ikegami Y, Yoshida K, Imaizumi T, et al. Life-threatening urethral hemorrhage after placement of a Foley catheter in a patient with uroseptic disseminated intravascular coagulation due to chronic urinary retention induced by untreated benign prostatic hyperplasia. Acute Med Surg. 2016;3(4):407-410doi: 10.1002/ams2.209.
Ikegami, Y., Yoshida, K., Imaizumi, T., Isosu, T., Kurosawa, S., & Murakawa, M. (2016). Life-threatening urethral hemorrhage after placement of a Foley catheter in a patient with uroseptic disseminated intravascular coagulation due to chronic urinary retention induced by untreated benign prostatic hyperplasia. Acute medicine & surgery, 3(4), 407-410. https://doi.org/10.1002/ams2.209
Ikegami, Yukihiro, et al. "Life-threatening urethral hemorrhage after placement of a Foley catheter in a patient with uroseptic disseminated intravascular coagulation due to chronic urinary retention induced by untreated benign prostatic hyperplasia." Acute medicine & surgery vol. 3,4 (2016): 407-410. doi: https://doi.org/10.1002/ams2.209
Ikegami Y, Yoshida K, Imaizumi T, Isosu T, Kurosawa S, Murakawa M. Life-threatening urethral hemorrhage after placement of a Foley catheter in a patient with uroseptic disseminated intravascular coagulation due to chronic urinary retention induced by untreated benign prostatic hyperplasia. Acute Med Surg. 2016 May 03;3(4):407-410. doi: 10.1002/ams2.209. eCollection 2016 Oct. PMID: 29123824; PMCID: PMC5667313.
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Acute Med Surg. 2016 May 03;3(4):407-410. doi: 10.1002/ams2.209. eCollection 2016 Oct.

Life-threatening urethral hemorrhage after placement of a Foley catheter in a patient with uroseptic disseminated intravascular coagulation due to chronic urinary retention induced by untreated benign prostatic hyperplasia.

Acute medicine & surgery

Yukihiro Ikegami, Keisuke Yoshida, Tsuyoshi Imaizumi, Tsuyoshi Isosu, Shin Kurosawa, Masahiro Murakawa

Affiliations

  1. Department of Anesthesiology School of Medicine Fukushima Medical University Fukushima Japan.

PMID: 29123824 PMCID: PMC5667313 DOI: 10.1002/ams2.209

Abstract

CASE: A 77-year-old man with severe septic disseminated intravascular coagulation following urinary infection was transported to our hospital. He had developed urinary retention induced by untreated prostatic hyperplasia. Immediate drainage with a Foley catheter was successfully carried out, but the hematuria progressed to life-threatening hemorrhage.

OUTCOME: Complete hemostasis was impossible by surgical treatment because the tissue around the prostatic urethra was very fragile and hemorrhagic. Organized treatments (continuous hemodiafiltration combined with polymyxin-B immobilized fiber column hemoperfusion and systemic treatment with antibiotics and coagulation factors) were commenced soon after the operation. The patient eventually recovered from the septic disseminated intravascular coagulation.

CONCLUSION: This case report illustrates the risk of placement of Foley catheters in patients with severe septic disseminated intravascular coagulation.

Keywords: Benign prostatic hyperplasia; PMX; chronic urinary retention; septic DIC; urethral hemorrhage

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