Tarukado Kiyoshi, Oda Takaaki, Tono Osamu, Suetsugu Hiroyuki, Doi Toshio
Department of Orthopedic Surgery, Kyushu University Beppu Hospital, Beppu, Japan.
Department of Orthopedic Surgery, Takada Central Hospital, Bungotakada, Japan.
Asian Spine J. 2015 Jun;9(3):461-4. doi: 10.4184/asj.2015.9.3.461. Epub 2015 Jun 8.
The breakage of an epidural catheter is an extremely rare complication. We describe a unique case where a retained epidural catheter fragment after epidural anesthesia was treated by surgery. The epidural catheter broke during its removal, requiring surgery to remove the retained catheter. Intraoperatively, the removal of the catheter was attempted by simple traction, but was impossible because of the adhesion. The adhesion of the dura mater surface was carefully exfoliated and the successful removal of the catheter was accomplished. Conventionally, it was said that this follow-up was enough for the retained catheter. However, if a catheter is retained within the spinal canal, surgical removal should thus be considered before the adhesion advances.
硬膜外导管断裂是一种极其罕见的并发症。我们描述了一个独特的病例，其中硬膜外麻醉后残留的硬膜外导管碎片通过手术进行了处理。硬膜外导管在拔除过程中发生断裂，需要通过手术取出残留导管。术中，试图通过简单牵引取出导管，但由于粘连而无法成功。小心地剥离了硬脑膜表面的粘连，最终成功取出了导管。按照传统观点，对于残留导管进行这样的后续处理就足够了。然而，如果导管残留在椎管内，那么在粘连进展之前就应考虑手术取出。
