title: A Knotted Urethral Catheter in the Emergency Department.
abstract: Inadvertent knotting of urethral catheters and enteric feeding tubes is a rare complication in pediatric patients. If a small flexible tube is used and advanced too far, upon withdrawal, the catheter may knot in the bladder. Surgical intervention for retrieval is required in most cases. We present a case of a 26-day-old female neonate who was catheterized with a 5 French enteric feeding tube, which was later removed in the emergency department with gentle traction alone. After removal, a knot was noted at the tip. It is important for emergency physicians to be aware of this complication, because this particular size feeding tube is most susceptible to kinking inside of the urinary tract.
authors.affiliation: From the Department of Emergency Medicine, Maimonides Medical Center, Brooklyn, NY.
authors.forename: Victoria
authors.initials: V
authors.lastname: Terentiev
authors.forename: Ora
authors.initials: O
authors.lastname: Khentsinsky
authors.forename: Eitan
authors.initials: E
authors.lastname: Dickman
authors.forename: Carmen
authors.initials: C
authors.lastname: Cortis
authors.forename: Alexander
authors.initials: A
authors.lastname: Arroyo
mesh_terms: D002408:Catheters, Indwelling / Q000009:adverse effects*; D020878:Device Removal; D004636:Emergency Service, Hospital; D004868:Equipment Failure; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D062885:Urinary Catheters / Q000009:adverse effects*