{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T16:12:20Z","timestamp":1780071140368,"version":"3.54.0"},"reference-count":10,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,4,23]]},"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:p>We describe a case of a gentleman in his late 70s with left ureteric injury secondary to insertion of a urethral catheter into the left ureter. The resulting left ureteric injury required emergency percutaneous nephrostomy (PCN) insertion.<\/jats:p>\n                  <jats:p>This patient presented acutely to the urology service with haematuria and presumed urinary tract infection owing to a pre-existing bladder cancer diagnosis. A urethral catheter was inserted on admission for monitoring urine output and when his urethral catheter was noted to be blocked with clot overnight it was changed to a larger catheter.<\/jats:p>\n                  <jats:p>An 18Ch catheter was inserted and he experienced pain on balloon inflation. Owing to his background and presentation, a repeat staging CT scan was performed, which identified that the catheter balloon was inflated in the mid left ureter.<\/jats:p>\n                  <jats:p>The catheter was removed and within 4\u2009hours the patient began reporting severe left abdominal pain with localised tenderness on examination. A CT urogram revealed a urine leak secondary to a left mid-ureteric injury. He was transferred the following morning to the regional centre for PCN.<\/jats:p>","DOI":"10.1136\/bcr-2025-270775","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T15:55:20Z","timestamp":1780070120000},"page":"e270775","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Mid-ureteric injury resulting from malposition of an indwelling urethral catheter"],"prefix":"10.1136","volume":"19","author":[{"given":"Melanie","family":"Sneddon","sequence":"first","affiliation":[{"name":"Urology, University Hospital Ayr, Ayr, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin","family":"Shepherd","sequence":"additional","affiliation":[{"name":"University Hospital Ayr, Ayr, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Monaghan","sequence":"additional","affiliation":[{"name":"University Hospital Ayr, Ayr, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Little","sequence":"additional","affiliation":[{"name":"University Hospital Ayr, Ayr, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,5,29]]},"reference":[{"key":"2026052908550961000_19.5.e270775.1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afm163"},{"key":"2026052908550961000_19.5.e270775.2","doi-asserted-by":"publisher","DOI":"10.1177\/003335490712200205"},{"key":"2026052908550961000_19.5.e270775.3","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410X.2002.02719.x"},{"key":"2026052908550961000_19.5.e270775.4","doi-asserted-by":"crossref","DOI":"10.1093\/jscr\/rjac563","article-title":"Ureteric trauma caused by urethral catheter insertion: case report and literature review","volume":"2022","author":"Sayedin","year":"2022","journal-title":"J Surg Case Rep"},{"key":"2026052908550961000_19.5.e270775.5","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1016\/j.ajur.2016.08.011","article-title":"Inadvertent placement of a urinary catheter into the ureter: A report of 3 cases and review of the literature","volume":"4","author":"Luo","year":"2017","journal-title":"Asian J Urol"},{"key":"2026052908550961000_19.5.e270775.6","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1089\/cren.2019.0074","article-title":"Retained Urethral Catheter in the Ureter Following Misplaced Insertion in a Postpartum Female","volume":"6","author":"Smekal","year":"2020","journal-title":"J Endourol Case Rep"},{"key":"2026052908550961000_19.5.e270775.7","article-title":"Retained Urethral Catheter Secondary to Placement in Proximal Ureter","volume":"2016","author":"McGregor","year":"2016","journal-title":"Case Rep Urol"},{"key":"2026052908550961000_19.5.e270775.8","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/146.6.719"},{"key":"2026052908550961000_19.5.e270775.9","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1111\/bju.15406","article-title":"British Association of Urological Surgeons (BAUS) and Nurses (BAUN) consensus document: management of the complications of long-term indwelling catheters","volume":"128","author":"Reid","year":"2021","journal-title":"BJU Int"},{"key":"2026052908550961000_19.5.e270775.10","doi-asserted-by":"crossref","first-page":"E302","DOI":"10.5489\/cuaj.4271","article-title":"A prospective audit on the effect of training and educational workshops on the incidence of urethral catheterization injuries","volume":"11","author":"Bhatt","year":"2017","journal-title":"Can Urol Assoc J"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-270775","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T15:55:21Z","timestamp":1780070121000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-270775"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":10,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2026,5,29]]},"published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1136\/bcr-2025-270775"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-270775","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]}}}