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.

Article Outline

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

No full text is available. To read the body of this article, please view the PDF online.

 

Back to Article Outline

References 

  1. Flock WD , Litvak AS , McRoberts JW . Evaluation of closed suprapubic cystostomy . Urology . 1978;11:40–42
  2. Drutz HP , Khosid HI . Complications with Bonanno suprapubic catheters . Am J Obstet Gynecol . 1984;149:685–686
  3. Ke HL , Lin HY , Jang MY , Wu WJ . Hair as the nidus for bladder calculi formation complicating suprapubic cystostomy catheter-ization: a case report . Kaohsiung J Med Sci . 2006;22:243–246
  4. Dogra PN , Goel R . Complication of percutaneous suprapubic cystostomy . Int Urol Nephrol . 2004;36:343–344
  5. Doweiko JP , Alter C . Subcutaneous emphysema: report of a case and review of the literature . Dermatology . 1992;184:62–64
  6. Ahmad M , Dakshinamurty KV . Emphysematous renal tract disease due to Aspergillus fumigatus . J Assoc Physicians India . 2004;52:495–497
  7. Kabakow B , Ober W . Subcutaneous emphysema secondary to perforated radiation proctosigmoiditis . Gynecol Oncol . 1978;6:111–114
  8. Chu S , Glare P . Subcutaneous emphysema in advanced cancer . J Pain Symptom Manage . 2000;19:73–77
  9. Chow E , Wong CS , Goldberg RE , Stern HS . Nontraumatic subcutaneous emphysema in association with rectal carcinoma . Can Assoc Radiol J . 1996;47:94–97
  10. Wu CC , Su CT , Lin AC . Terminal ileum perforation from a misplaced percutaneous suprapubic cystostomy . Eur J Emerg Med . 2007;14:92–93

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

Article Tools