Terentiev Victoria, Khentsinsky Ora, Dickman Eitan, Cortis Carmen, Arroyo Alexander
From the Department of Emergency Medicine, Maimonides Medical Center, Brooklyn, NY.
Pediatr Emerg Care. 2017 Mar;33(3):190-191. doi: 10.1097/PEC.0000000000000751.
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.
尿道导管和肠内饲管意外打结在儿科患者中是一种罕见的并发症。如果使用的是细的柔性导管且推进得太远，在拔出时，导管可能在膀胱内打结。大多数情况下需要手术干预来取出。我们报告一例26日龄女婴，用5号法国规格的肠内饲管进行插管，后来仅通过在急诊科轻柔牵引就将其取出。取出后，发现尖端有一个结。急诊医生了解这种并发症很重要，因为这种特定尺寸的饲管在泌尿道内最容易发生扭结。
