PATIENT HISTORY:
A 30yrs old male brought to ER with alleged h/o (blunt injury abdomen and pelvis) initially patient was evaluated and primary resuscitation done at outside hospital. Referred to us for further management.
ON PRESENTATION TO EMERGENCY DEPARTMENT:
Patient had Foley’s catheter with frank haematuria, CT- Abdomen & Pelvis showed B/L superior and inferior pubic rami fracture with comminuted sacral ala fracture with rupture of membranous urethra & catheter outside of bladder.
SPC PLACEMENT:
In v/o acute urinary retention with frank hematuria, under ultrasound guidance suprapubic catheter was placed and urine drained.
FOLLOW-UP: :
Patient returned for follow up, SPC Catheter changed during the visit. Patient is being planned for urethral repair after 3 months.
EMERGENCY PEARL:
Don’t place foley’s catheter in a patient presenting with pelvic injury with hematuria / blood over penile meatus, since it could be a case of ruptured urethra it should be managed by placing suprapubic catheter.
CASE MANAGED BY TEAM OF DOCTORS AT ADARSHA HOSPITAL :
Dr. Hruday Kumar Bhairineni
MS General Surgery, Mch Urology
Dr. Thunguri Karthik
MD.Anaesthesia, Critical Care Medicine
Dr.Hamed Hussain
MBBS, FEM(RLA UK)
Emergency Physician and Critical Care
SUPRAPUBIC CATHETER (SPC TUBE) :
