Subcutaneous and scrotal emphysema following suprapubic cystostomy in a patient with colovesical fistula.

Subcutaneous and scrotal emphysema are rare complications of suprapubic cystostomy. We present here a rare case of an 81-year-old man with colovesical fistula who had severe subcutaneous and scrotal emphysema after percutaneous suprapubic cystostomy was performed. We inserted a new Foley catheter via the urethra, removed the suprapubic cystostomy and incised his scrotal emphysema for open drainage. The patient's subcutaneous emphysema slowly healed. Copyright 2010 Elsevier. Published by Elsevier B.V. All rights reserved.