Double Whammy: Severe Necrotizing Soft Tissue In fection in the Setting of Extrap eritoneal Bladder Injury from Prolonged Urinary Bladder Catheterization

Urinary bladder injury due to prolonged indwelling Foley catheter placement is reportedly rare but potentially lethal complication. Review of literature showed most of the urinary bladder injuries reported was intraperitoneal. This is the first reported ca se of extra peritoneal bladder injury from foley catheterization causing severe necrotizing soft tissue infectio n s of the lower abdomen and groin area. The patient was initially managed by surgical debridement of infected soft tissue, IV antibiotics and indwelling Foley catheter. The extraperi toneal bladder injury eventually required surgical repair of the perforated site and the open wound managed with negative pressure dressing. The patient was discharged from the unit after a course of antibiotics which helped clear the infection.