Mesenteric misadventure: An unusual suprapubic catheter complication

Cecile T. Pham; Patrick Lau; Jonathan Hew; Christos Apostolou; Amanda Chung

doi:10.1097/CU9.0000000000000095

Current Urology ›› 2025, Vol. 19 ›› Issue (1) :70 -72. DOI: 10.1097/CU9.0000000000000095

Case Report

research-article

Mesenteric misadventure: An unusual suprapubic catheter complication

Cecile T. Pham ^a^,^b^,^c^,^d^,^*
, Patrick Lau ^e
, Jonathan Hew ^e
, Christos Apostolou ^e^,^f^,^g
, Amanda Chung ^a^,^b^,^h^,ⁱ

Author information +

^a Department of Urology, Northern Beaches Hospital, Frenchs Forest, NSW, Australia

^b North Shore Urology Research Group, St Leonards, NSW, Australia

^c Faculty of Medicine and Health, University of New South Wales, Kensington, NSW, Australia

^d Faculty of Medicine, Health and Human Sciences, Macquarie University, Macquarie Park, NSW, Australia

^e Department of General Surgery, Northern Beaches Hospital, Frenchs Forest, NSW, Australia

^f Department of General Surgery, Sydney Adventist Hospital, Wahroonga, NSW, Australia

^g Department of General Surgery, Macquarie University Hospital, Macquarie Park, NSW, Australia

^h Department of Urology, Royal North Shore Hospital, St Leonards, NSW, Australia

ⁱ Department of Urology, North Shore Private Hospital, St Leonards, NSW, Australia

^j Department of Urology, Macquarie University Hospital, Macquarie Park, NSW, Australia

*Dr. Cecile Pham, Department of Urology, Northern Beaches Hospital, 105 Frenchs Forest Road, Frenchs Forest, NSW, 2086, Australia. E-mail address: cecile.pham@icloud.com (C. Pham).

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Abstract

Although suprapubic cystotomy for catheter insertion is commonly performed, complications can be associated with serious morbidity. This case describes delayed recognition of a transperitoneal suprapubic catheter (SPC) traversing the small bowel mesentery and causing a closed loop obstruction of the caecum 7 years after SPC insertion. There are very few cases in the literature of SPC causing mesenteric perforation and to the best of our knowledge, this is the first reported case causing subsequent obstruction of the caecum and the longest delay of 7 years between SPC insertion and manifestation of bowel obstruction.

Keywords

Bowel obstruction / Mesenteric injury / Suprapubic catheter

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Cecile T. Pham, Patrick Lau, Jonathan Hew, Christos Apostolou, Amanda Chung. Mesenteric misadventure: An unusual suprapubic catheter complication. Current Urology, 2025, 19(1): 70-72 DOI:10.1097/CU9.0000000000000095

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Acknowledgments

None.

Statement of ethics

This case was reviewed and approved by the Northern Beaches Hospital Research Governance Committee. Written informed consent was obtained from the patient for publication of this case report and any accompanying images.

Conflict of interest statement

No conflict of interest has been declared by the author.

Funding source

None.

Author contributions

CP was involved in data curation, project administration, manuscript writing, and editing. PL and JH were involved in data curation and manuscript editing. CA and AC were involved in conceptualization, supervision, and manuscript editing.

Data availability

The datasets generated during and/or analyzed during the current study are not publicly available, but are available from the corresponding author on reasonable request.

References

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