DOI QR코드

DOI QR Code

A method of bedside urethrography before catheterization in pelvic trauma in Korea: a case report

  • Hojun Lee (Department of General Surgery, Armed Forces Capital Hospital) ;
  • Sung Yub Jeong (Department of Plastic Surgery, Armed Forces Capital Hospital) ;
  • Kun Hwang (Department of Plastic Surgery, Armed Forces Capital Hospital)
  • 투고 : 2023.07.11
  • 심사 : 2023.10.10
  • 발행 : 2023.12.31

초록

We introduce a convenient method of urethrography before catheterization for patients with pelvic trauma that can be used in a resuscitation area. A 10-mL syringe without a needle was used. X-ray contrast medium (Iohexol, 300 mg I/mL) was administered through the urethral orifice using a 10-mL syringe without needle and a simple pelvic anteroposterior film was taken (70 kilovolt [peak], 50 mAs). A 36-year-old soldier with a saddle injury from a gun barrel was taken to a trauma center. He had a pelvic fracture and complained of hematuria. Bedside urethrography above described was performed. The anterior urethra showed nonspecific findings, but dye leaked from the posterior urethra. Bedside Foley catheter insertion was attempted, but the catheter could not be advanced past the membranous urethra. Thereafter, suprapubic catheterization was performed. On the day of the injury, iliac artery embolization was carried out. The dislocated sacroiliac joint was also treated using open reduction and internal fixation. On hospital day 7, guidewire Foley insertion was performed. This bedside urethrography technique is simple and useful for pelvic fractures in which urethral injury is suspected.

키워드

과제정보

The authors thank Hye Won Hu, MA (Department of Oral Biology, Yonsei University College of Dentistry, Seoul, Korea) for her illustration.

참고문헌

  1. Ingram MD, Watson SG, Skippage PL, Patel U. Urethral injuries after pelvic trauma: evaluation with urethrography. Radiographics 2008;28:1631-43. https://doi.org/10.1148/rg.286085501
  2. Koraitim MM. Pelvic fracture urethral injuries: evaluation of various methods of management. J Urol 1996;156:1288-91. https://doi.org/10.1016/S0022-5347(01)65571-X
  3. Patel U, Rickards D. Imaging and urodynamics of the lower urinary tract. Taylor & Francis; 2005.
  4. Kwi NK. A simple instrument for ascending urethrography in males. Med J Malaya 1972;26:291-2.
  5. Berna-Mestre JD Jr, Berna-Serna J. A perfected device for performing retrograde urethrography. Med Devices (Auckl) 2008;1:19-21. https://doi.org/10.2147/MDER.S3944
  6. Lucaya J. A simple technique of retrograde urethrography in male infants. Radiology 1972;102:402.