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Rare Image of Epidural Catheter Fracture in Lumbar Analgesia – Lumbar Spinal Stenosis

This article reports a case of an accidental fracture of an epidural analgesia catheter, which is a rare occurrence with a low incidence rate. The case involves a 42-year-old female patient who had received regional epidural anesthesia during a cesarean section eight years prior. The patient had been experiencing intermittent low back pain between the spinous processes of L2 and L3 since then. Magnetic resonance imaging revealed a “golf club” image of the fractured catheter in the lumbar spine. Surgical intervention was performed to remove the catheter, which was found coiled in an S-shape between the facets of L2 and L3. The article also mentions various risk factors and treatment options reported in other studies

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

CONCLUSION: In a systematic review, 24 articles were reported on this specific issue. No surgical procedure and follow-up were informed by 8 authors. Surgical remotion by laminectomy was used in 9 articles, surgical explanation by skin incision was reported by 4 authors, and remotion by endoscopy was reported in 1 article. Two articles not reported solution.

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Case Rep Anesthesiol. 2023 Aug 28;2023:8880024. doi: 10.1155/2023/8880024. eCollection 2023.ABSTRACTOBJECTIVE: Accidental fracture of epidural analgesia catheters has a very low incidence of 2.5 per 100,000 anesthesia. A rare image of the fracture is reported.METHODS: A 42-year-old female patient was attending a cesarean section eight years earlier to her consult. In the cesarean section, she received,

Case Rep Anesthesiol. 2023 Aug 28;2023:8880024. doi: 10.1155/2023/8880024. eCollection 2023.

ABSTRACT

OBJECTIVE: Accidental fracture of epidural analgesia catheters has a very low incidence of 2.5 per 100,000 anesthesia. A rare image of the fracture is reported.

METHODS: A 42-year-old female patient was attending a cesarean section eight years earlier to her consult. In the cesarean section, she received regional epidural anesthesia, and the main complaint was low back pain, specifically between the spinous processes L2 and L3. The somatic pain had been presenting intermittently for eight years. The sagittal section of magnetic resonance imaging of the lumbar spine showed a “golf club” image from the midline to the laminae of L2 and L3 with the subcutaneous tissue.

RESULTS: A small right hemilaminectomy was performed to remove the complete catheter, which did not adhere, but was coiled in the S-shape. The catheter was trapped between the left facets of L2 and L3 laterally than through the midline. Several risk factors and therapeutic procedures have been proposed.

CONCLUSION: In a systematic review, 24 articles were reported on this specific issue. No surgical procedure and follow-up were informed by 8 authors. Surgical remotion by laminectomy was used in 9 articles, surgical explanation by skin incision was reported by 4 authors, and remotion by endoscopy was reported in 1 article. Two articles not reported solution.

PMID:37670951 | PMC:PMC10477027 | DOI:10.1155/2023/8880024

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Rare Image of Epidural Catheter Fracture in Lumbar Analgesia

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Case Rep Anesthesiol. 2023 Aug 28;2023:8880024. doi: 10.1155/2023/8880024. eCollection 2023.ABSTRACTOBJECTIVE: Accidental fracture of epidural analgesia catheters has a very low incidence of 2.5 per 100,000 anesthesia. A rare image of the fracture is reported.METHODS: A 42-year-old female patient was attending a cesarean section eight years earlier to her consult. In the cesarean section, she received

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