Question:

Inadvertent ureteral placement of a Foley catheter is more likely to occur into which ureter?
1. Left ureter
2. Right ureter
3. Duplicated ureter
4. Surgically implanted ureter
5. No known predilections





Answer:

The correct answer for the question "Inadvertent ureteral placement of a Foley catheter is more likely to occur into which ureter?" is:

5. No known predilections



Explanation
There are no well-established predilections for inadvertent ureteral catheterization.  There are currently three published cases involving the right side and three involving the left side (with our case making a fourth). Only one of these cases involved a duplicated ureter.  There are no known cases of Foley catheterization of a surgically implanted ureter.  [Three of these involved the right ureter [4,5,9] and three involved the left ureter [6,7,8], (with our case making a fourth).]



From the manuscript:
Ureteral rupture from aberrant Foley catheter placement: A case report
Radiology Case. 2013 Jan; 7(1):33-40


This article belongs to the GU section.




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From the manuscript

Ureteral rupture from aberrant Foley catheter placement: A case report

Free full text article: Ureteral rupture from aberrant Foley catheter placement: A case report

Abstract
We present the case of a 59 year old female with history of severe neurologic dysfunction from advanced multiple sclerosis who presented with lethargy and oliguria several hours after urethral Foley catheterization. A contrast-enhanced CT scan of the abdomen/pelvis showed an aberrantly placed Foley catheter with its balloon inflated in the proximal left ureter, a rare complication of Foley catheterization with only 5 other cases reported. Incomplete ureteral rupture was demonstrated and confirmed by a followup CT scan in the urographic phase. One of our institution`s Interventional Radiologists then placed a nephroureteral stent across the injured ureter to facilitate healing. The patient expired 9 days after the procedure from unrelated sepsis from a chronic stage IV decubitus ulcer, so long term monitoring could not be performed. Following description of our case, we conduct a literature review of presentations, imaging characteristics, and treatment of ureteral Foley catheter placement.






References



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