Removal of a knotted catheter lodged in an appendicostomy tract.
Knots are an unusual complication of catheterization procedures but have been reported in a variety of circumstances. Refractory constipation and colonic dysmotility disorders can be treated with a surgically created appendicostomy that is typically catheterized nightly to administer an antegrade colonic enema. We report a case of a catheter that formed a knot and became lodged in an appendicostomy. We describe the method used to remove the knot and make a recommendation to prevent this complication.
Tufts Medical School, Boston, MA 02111, USA.
Gregory M
GM
Halenda
Marcela M
MM
Godoy
Alex F
AF
Flores
Peter D
PD
Ngo
D001065:Appendix / Q000601:surgery*; D002404:Catheterization; D057785:Catheters; D002648:Child; D003248:Constipation / Q000601:surgery / Q000628:therapy; D020878:Device Removal; D004733:Enema / Q000295:instrumentation / Q000379:methods; D004868:Equipment Failure; D005260:Female; D005547:Foreign Bodies / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D010030:Ostomy