Knotted urethral catheter: a twist in the tail

Inadvertent knotting of infant feeding tubes used for clean intermittent catheterisation (CIC) is a rare complication in paediatric patients. The small flexible tubes used in infants if advanced too far into the bladder may form a knot as the bladder empties. Surgical intervention is required especi...

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Bibliographic Details
Published in:BMJ case reports 2017-05, Vol.2017, p.bcr-2016-217834
Main Authors: Jehangir, Susan, David, Dennis Darren
Format: Article
Language:English
Subjects:
12 Months
Asia
Babies
Bladder
Catheters
Catheters, Indwelling - adverse effects
Device Removal
Diagnosis, Differential
Equipment Failure
Foreign-Body Migration - diagnosis
Foreign-Body Migration - diagnostic imaging
Foreign-Body Migration - surgery
Humans
Indian Sub-Continent
Infant
Learning from Errors
Male
Urinary Catheters - adverse effects
Urologic Surgical Procedures, Male
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Summary:Inadvertent knotting of infant feeding tubes used for clean intermittent catheterisation (CIC) is a rare complication in paediatric patients. The small flexible tubes used in infants if advanced too far into the bladder may form a knot as the bladder empties. Surgical intervention is required especially if it is lodged in the urethra. We present a case of a baby boy aged 4 months on CIC with a 6 Fr feeding tube, which required a meatotomy for removal. Education while instituting CIC must emphasise the length of catheter insertion, the chance of knotted catheter and steps to take if it occurs. A dedicated urotherapy nurse would be ideal.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2016-217834