Journal of the Chinese Medical Association
Volume 73, Issue 5 , Pages 265-267, May 2010

Subcutaneous and Scrotal Emphysema Following Suprapubic Cystostomy in a Patient With Colovesical Fistula

  • Hui-Lun Huang

      Affiliations

    • Division of Family Medicine, Department of Community Medicine, Changhua Christian Hospital, Changhua, Taiwan, R.O.C.
    • ,
  • Chia-Chu Chang

      Affiliations

    • Division of Nephrology, Department of Internal Medicine, Changhua Christian Hospital, Changhua, Taiwan, R.O.C.
    • College of Health Sciences, Institute of Medical Research, Chang Jung Christian University, Tainan, Taiwan, R.O.C.
    • ,
  • Chun-Chi Chen

      Affiliations

    • Division of Urology, Department of Surgery, Changhua Christian Hospital, Changhua, Taiwan, R.O.C.
    • ,
  • Tsu-Kei Huang

      Affiliations

    • Division of Nephrology, Department of Internal Medicine, Changhua Christian Hospital, Changhua, Taiwan, R.O.C.
    • Corresponding Author InformationCorrespondence to: Dr Tsu-Kei Huang, Division of Nephrology, Department of Internal Medicine, Changhua Christian Hospital, 135, Nanxiao Street, Changhua 500, Taiwan, R.O.C.

Received 28 July 2009; accepted 10 March 2010.

Subcutaneous and scrotal emphysema are rare complications of suprapubic cystostomy. We present here a rare case of an 81-year-old man with colovesical fistula who had severe subcutaneous and scrotal emphysema after percutaneous suprapubic cystostomy was performed. We inserted a new Foley catheter via the urethra, removed the suprapubic cystostomy and incised his scrotal emphysema for open drainage. The patient's subcutaneous emphysema slowly healed.

Key Words:  scrotal emphysema , subcutaneous emphysema , suprapubic cystostomy

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PII: S1726-4901(10)70057-5

doi:10.1016/S1726-4901(10)70057-5

Journal of the Chinese Medical Association
Volume 73, Issue 5 , Pages 265-267, May 2010

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