title: Rectal puncture complicating caudal blockade in a child with severe rectal distension.
abstract: We describe a case of unrecognized rectal puncture following unsuccessful caudal blockade in a patient later found to have marked rectal distension on MRI. This may have contributed to the rectal injury.
authors.affiliation: Magill Department of Anaesthesia, Chelsea and Westminster Hospital, London, UK.
authors.forename: Vivian
authors.initials: V
authors.lastname: Sathianathan
authors.affiliation: Department of Anaesthesia, Great Ormond Street Hospital, London, UK.
authors.forename: Nadine
authors.initials: N
authors.lastname: Dobby
mesh_terms: D000763:Anesthesia, Caudal / Q000009:adverse effects*; D002675:Child, Preschool; D005260:Female; D006554:Hernia, Umbilical / Q000601:surgery*; D006801:Humans; D007049:Iatrogenic Disease; D007431:Intraoperative Complications / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D012007:Rectum / Q000002:abnormalities* / Q000293:injuries*
keywords: anesthesia; caudal; constipation; iatrogenic disease; intraoperative complications; magnetic resonance imaging; pediatrics