Ureteric Rupture Following Inadvertent Foley’s Catheter Balloon Inflation

Background: Ureteric rupture is one of the rarest but serious complication of Foley`s catheterization. We present a case of ureteric rupture along with retroperitoneal haematoma following attempted Foley`s catheterization Case presentation: A general physician attempted Foley`s catheterization on a male patient in his 70’s in community because of recurrent urinary incontinence and deranged renal function tests, during the procedure inadvertent intra-ureteric balloon inflation occurred. Following the procedure, patient presented to emergency department with severe lower abdominal pain and sepsis, imaging studies revealed left ureter rupture and retroperitoneal haematoma. Patient was referred to a tertiary referral urology centre and surgical intervention was performed. Patient recovered post operatively without any further complication. Conclusion: Ureteric rupture following Foley`s catheter balloon inflation is although rare but should be considered in cases of post procedural abdominal pain and sepsis. Timely diagnosis and management is important for a better outcome.