A male tetraplegic @entity1 attended accident and emergency with a blocked catheter; on removing the catheter, he passed bloody urine. After three unsuccessful attempts were made to insert a catheter by nursing staff, a junior doctor inserted a three-way Foley catheter with a 30-mL balloon but inflated the balloon with 10 mL of water to commence the bladder irrigation. The @entity1011 level was mostly 19   mol/L (range: 0-135   mol/L) but increased to 46   mol/L on day 7. Computerized tomography urogram revealed that the bilateral @entity3041 with hydroureter was extended down to urinary bladder, the bladder was distended, prostatic urethra was dilated and filled with urine, and although the balloon of Foley catheter was not seen in the bladder, the tip of the catheter was seen lying in the urethra. Following the re-catheterization, the @entity1011 level decreased to 21   mol/L. A follow-up ultrasound scan revealed no evidence of @entity3041 in both kidneys. Flexible cystoscopy revealed inflamed bladder mucosa, catheter reaction, and tiny stones. There was no @entity150 . This case report concludes that the cause of bilateral @entity3041 , hydroureter, and distended bladder was inadequate drainage of urinary bladder as the Foley balloon that was under-filled slipped into the urethra resulting in an obstruction to urine flow. Urethral catheterization in tetraplegic @entity1 should be performed by senior, experienced staff in order to avoid @entity130 and incorrect positioning. Tetraplegic subjects with decreased muscle mass have low @entity1011 level. Increase in @entity1011 level (>1.5 times the basal level) indicates @entity810 , although peak @entity1011 level may still be within laboratory reference range. While scanning the urinary tract of @entity1566 @entity1 with indwelling urinary catheter, if Foley balloon is not seen within the bladder, urethra should be scanned to locate the Foley balloon.

Acute Urinary Obstruction in a Tetraplegic XXXX from Misplacement of Catheter in Urethra.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity3041 :: ('MESH:D006869', 'Disease') :: ['hydronephrosis'] @entity150 :: ('MESH:D001749', 'Disease') :: ['bladder tumor'] @entity810 :: ('MESH:D058186', 'Disease') :: ['acute kidney injury'] @entity1566 :: ('MESH:D013119', 'Disease') :: ['spinal cord injury'] @entity1011 :: ('MESH:D003404', 'Chemical') :: ['creatinine'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity1 :: (9606,Species) :: ['Patient']
