DOI: 10.36347/sjmcr.2018.v06i08.011

Pages: 532-534

An 87-year-old woman, who had had hypertension and neurological bladder with an indwelling bladder catheter, complained of lower abdominal pain, appetite loss and a poor physical condition. However, her family selected to observe her at home. The next day, she became unconscious after vomiting and an ambulance was called. When the emergency medical technicians checked her, she was in cardiac arrest. Her initial rhythm was asystole. She was transported to our hospital with basic life support. On arrival, she remained in cardiac arrest. Advanced cardiac life support failed to obtain a return of circulation. During autopsy, computed tomography showed extended bladder with a thick wall, hydro-ureter and hydro-nephrosis, even though a bladder catheter was inserted. After exchanging the bladder catheter, foul-smelling pyuria was recognized. We diagnosed the patient with lethal urosepsis due to occlusion of an indwelling bladder catheter. This is the first case of lethal urosepsis due to occlusion of an indwelling bladder catheter. Family education is important when an elderly patient with an indwelling bladder catheter will live with their family at home, so that family members understand that the patient should be transported to a medical facility as soon as possible when problems occur.