Volume 68, Issue 4 (6 2010)
Tehran Univ Med J 2010, 68(4): 257-260 |
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M M, Kh B, MR K. Epidural catheter fragment entrapment: a case report. Tehran Univ Med J 2010; 68 (4) :257-260
URL: http://tumj.tums.ac.ir/article-1-356-en.html
URL: http://tumj.tums.ac.ir/article-1-356-en.html
1- , khajavim@tums.ac.ir
Abstract: (5499 Views)
Background: Epidural catheters are seldom difficult to remove from patients. The breakage of the catheters is uncommon, troublesome and occasionally dangerous.
Case presentation: A lumbar epidural catheter inserted in a 17 year-old man for applying anesthesia for internal fixation of femur fracture and subsequent postoperativeepidural analgesia. In the third postoperative day, during unsuccessful attempt for removing the catheter, it was broken and was retained in his back. A CT- scan was performed and shows a fragment of catheter in the sub- laminar ligament between L3 and L4 without any connection with epidural space. As the patient had no complaint the fractured fragment was left in site and he was just followed up in the clinic.
Conclusion: The knowledge of practical method in locating the retained epidural catheter, and the indication for surgical removal are very important. CT- scan is useful in showing the mechanism and locating the epidural catheter entrapment and facilitating surgical follow-up.
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