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Archives de pédiatrie
Volume 19, n° 4
pages 422-424 (avril 2012)
Doi : 10.1016/j.arcped.2012.01.010
Received : 22 April 2011 ;  accepted : 17 January 2012
Insuffisance rénale aiguë anurique après mise en place d’un cathéter sus-pubien
Anuric acute renal failure after suprapubic catheterization
 

N. Chautemps a, C. Milesi a, , D. Forgues b, A.-L. Adra c, D. Morin c, G. Cambonie a
a Pédiatrie néonatale et réanimation, hôpital Arnaud de Villeneuve, CHU de Montpellier, 371, avenue du Doyen-G.-Giraud, 34295 Montpellier cedex 5, France 
b Chirurgie viscérale pédiatrique, hôpital Lapeyronie, CHU de Montpellier, 34000 Montpellier, France 
c Néphrologie pédiatrique, hôpital Arnaud de Villeneuve, CHU de Montpellier, 34000 Montpellier, France 

Auteur correspondant.
Résumé

Le cathétérisme vésical sus-pubien par voie percutanée est une alternative à l’échec ou aux contre-indications du sondage urétral. Nous rapportons le cas d’un nouveau-né de 3j qui a présenté une insuffisance rénale aiguë anurique secondaire à la mise en place d’un cathéter sus-pubien. Une longueur excessive avait été introduite dans la vessie et obstruait les abouchements urétéraux. Le diagnostic a été établi par l’opacification du cathéter. Différentes mesures peuvent être proposées pour éviter la survenue d’une telle complication, telles que la mesure systématique de la longueur introduite dans la vessie, la graduation centimétrique du cathéter ou l’utilisation d’un matériel radio-opaque.

The full text of this article is available in PDF format.
Summary

Percutaneous suprapubic catheterization is an alternative when placement of a urethral catheter is contraindicated or unsuccessful. We report the case of a 3-day-old newborn, who presented anuric acute renal failure secondary to placement of a suprapubic catheter. An excessive length of catheter had been inserted into the bladder and was obstructing the vesicoureteral junctions. Several measures can be taken to prevent this complication, such as systematic measurement of the length inserted into the bladder, use of a catheter with 1cm gradations or recourse to radiopaque material.

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