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{ "pk": 24869, "title": "Urinary Catheter Causing Paracentesis-induced Circulatory Dysfunction", "subtitle": null, "abstract": "<p>Case Presentation: A 78-year-old male was admitted to the hospital due to acute-on-chronic liver failure with spontaneous bacterial peritonitis. About six liters of a yellow, turbid fluid were collected via indwelling urinary catheter (UC) overnight. He subsequently developed neurological and cardiac dysfunctions. Imaging confirmed bladder perforation and intraperitoneal placement of the UC, establishing the diagnosis of paracentesis-induced circulatory dysfunction due to unintended ascitic fluid drainage. He was stabilized with albumin replacement. The UC was removed, and the bladder injury resolved spontaneously.</p>\n<p>Discussion: This case depicts a rare complication of urinary catheterization, which underscores the need for careful monitoring and prompt intervention to effectively manage unexpected catheter-related issues.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Urinary Bladder Diseases" }, { "word": "Paracenteses" }, { "word": "shock" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7471n88c", "frozenauthors": [ { "first_name": "José Guilherme", "middle_name": "", "last_name": "Assis", "name_suffix": "", "institution": "Centro Hospitalar de Trás-os-Montes e Alto Douro, Department of Medicine, Vila Real, Portugal", "department": "" }, { "first_name": "Joana", "middle_name": "", "last_name": "Rua", "name_suffix": "", "institution": "Centro Hospitalar de Trás-os-Montes e Alto Douro, Department of Medicine, Vila Real, Portugal", "department": "" } ], "date_submitted": "2024-06-15T09:18:56.974000-07:00", "date_accepted": "2024-09-24T09:18:40.423000-07:00", "date_published": "2025-01-01T18:45:00-08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/24869/galley/31543/download/" } ] }