[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-416506-105":59,"doc-detail-416506-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","suprapubic-catheter-insertion-complicated-by-small-bowel-obstruction-requiring-laparotomy-a-case-report","Suprapubic catheter insertion complicated by small bowel obstruction requiring laparotomy - a case report","","Suprapubic catheterization (SPC) is widely used for urological indications, but rare complications such as bowel obstruction may lead to serious outcomes. A 70-year-old woman developed bowel obstruction 10 days after SPC insertion. Imaging confirmed the diagnosis, and exploratory laparotomy identified adhesive band–related obstruction of the terminal ileum, which was successfully released. The case underscores careful catheter insertion, early complication recognition, and prompt intervention, while supporting continued case reporting to improve awareness and best practices.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/suprapubic-catheter-insertion-complicated-by-small-bowel-obstruction-requiring-laparotomy-a-case-report/416506/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/suprapubic-catheter-insertion-complicated-by-small-bowel-obstruction-requiring-laparotomy-a-case-report/416506.png","ImageObject",300,407,{"name":92,"@type":93},"Franzy","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-04","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What complication occurred after suprapubic catheter insertion in this case?","Question",{"text":113,"@type":114},"The patient developed small bowel obstruction 10 days after SPC insertion.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How was the diagnosis confirmed?",{"text":118,"@type":114},"A computed tomography (CT) scan of the abdomen and pelvis demonstrated bowel dilation with a transition zone related to bowel twisting over the suprapubic catheter.",{"name":120,"@type":111,"acceptedAnswer":121},"What treatment was performed and what resolved the obstruction?",{"text":122,"@type":114},"Conservative management failed, so exploratory laparotomy was performed; an adhesive band covering the terminal ileum was released, leading to distal bowel collapse consistent with resolution.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},416506,1790955418,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":81,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":39,"preview_page_count":4},2336478945519,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","Journal of Surgical Case Reports, 2026, 1, rjaf1006  \n[https://doi.org/10.1093/jscr/rjaf1006](https://doi.org/10.1093/jscr/rjaf1006)  \nCase Report  \nCase Report  \nSuprapubic catheter insertion complicated by small bowel obstruction requiring laparotomy: a case report  \nFaisal Alsaleh1 , Abdullah Aljarbou1 , Mohammed Bin Shunayf2 , *, Yazeed Alghtani1 , Faisal Altwijri1 , Abdullah Alturki1  \n1 Department of Urology, King Saud University Medical City, King Saud University, Riyadh 12372, Saudi Arabia  \n2 Department of Urology, King Abdulaziz Medical City, Ar Rimaya, Riyadh 14611, Saudi Arabia  \n*Corresponding author. Department of Urology, King Abdulaziz Medical City, Ar Rimaya, Riyadh 14611, [Saudi Arabia. E-mail:](Saudi Arabia. E-mail: Mohammed.alshunaif@gmail.com)[ Mohammed.alshunaif@gmail.com](Saudi Arabia. E-mail: Mohammed.alshunaif@gmail.com)  \nAbstract  \nSuprapubic catheterization (SPC) is a common minimally invasive procedure with various urological indications. However, rare complications like bowel obstruction can occur, causing serious consequences. We report a case of a 70-year-old female who developed bowel obstruction 10 days after SPC insertion. Imaging confirmed the diagnosis and exploratory laparotomy revealed bowel obstruction caused by an adhesive band covering the terminal ileum,which was successfully released. This case highlights the importance of precise catheter insertion techniques, early recognition of complications, and prompt intervention to improve patient outcomes. Continued case reporting is essential to improve awareness and guide best practices for such complications.  \nKeywords: suprapubic catheterisation; small bowel obstruction; laparoscopy  \nIntroduction  \nSuprapubic Catheterization (SPC) is a widely performed procedure with various indications, including acute urinary retention in the emergency setting if urethral catheterization is difficult or dangerous, chronic urinary retention, urethral trauma, and palliation [1] .  \nIt is typically regarded as a safe and minimally invasive procedure. However, complications such as bowel injury or obstruction, though rare, can have significant clinical implications. These complications often arise due to the close anatomical relation between the bladder and surrounding structures, particularly the bowel.  \nThis report presents a rare case of small bowel obstruction after SPC placement, which emphasizes the importance of heightened vigilance during the procedure as well as the need for timely diagnosis and management of this serious complication.  \nCase presentation  \nA 70-year-old female with a past medical history of diabetes mellitus, hypertension, dyslipidemia, hypothyroidism, and a stroke in 2019 resulted in a neurogenic bladder for which she underwent suprapubic catheter insertion. Her surgical history was only notable for a prior cesarean section.  \nThe patient presented to the Emergency Department ten days after the SPC insertion with a three-day history of abdominal  \npain, vomiting, and obstipation. Physical examination revealed abdominal tenderness and distention. The SPC was noted to bedraining clear urine. Her vital signs showed elevated blood pressure (159/69 mmHg); otherwise, she was vitally stable. Laboratory findings were notable for hyponatremia (115 mmol/L) .  \nA computed tomography (CT) scan of the abdomen and pelvis was performed for further evaluation. The coronal view demonstrated a markedly distended stomach, mesenteric fat stranding with a small amount of free fluid, along with bowel dilation involving the mid and proximal small bowel loops (measuring up to 4 cm) with a transition zone at the site of bowel twisting over the suprapubic catheter (Fig. 1) . On the sagittal view, the suprapubic catheter was seen positioned correctly within the bladder (Fig. 2) . The bowel demonstrated normal enhancement, with no evidence of wall thickening, pneumatosis intestinalis, or pneumoperitoneum.  \nThe patient was admitted and started on intrav","cbCaiqrA6AZ2mFPY","https://ap.wps.com/l/cbCaiqrA6AZ2mFPY","pdf",324986,"English","# Introduction\n# Case presentation\n# Imaging and diagnosis\n# Management and outcome","[{\"question\":\"What complication occurred after suprapubic catheter insertion in this case?\",\"answer\":\"The patient developed small bowel obstruction 10 days after SPC insertion.\"},{\"question\":\"How was the diagnosis confirmed?\",\"answer\":\"A computed tomography (CT) scan of the abdomen and pelvis demonstrated bowel dilation with a transition zone related to bowel twisting over the suprapubic catheter.\"},{\"question\":\"What treatment was performed and what resolved the obstruction?\",\"answer\":\"Conservative management failed, so exploratory laparotomy was performed; an adhesive band covering the terminal ileum was released, leading to distal bowel collapse consistent with resolution.\"}]","Suprapubic catheter insertion complicated by small bowel obstruction requiring laparotomy - a case report | PDF",1790605688]