AI Article Synopsis
- A 77-year-old man with a severe urinary infection developed life-threatening hemorrhage after Foley catheterization due to prostatic hyperplasia and septic disseminated intravascular coagulation.
- Despite surgical interventions, complete hemostasis could not be achieved due to fragile tissue around the prostatic urethra.
- The patient eventually recovered following organized treatments, emphasizing the risks associated with Foley catheter placement in similar medical conditions.
Article 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.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5667313 | PMC |
| http://dx.doi.org/10.1002/ams2.209 | DOI Listing |
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