Spontaneous knotting of infant feeding tube in the urinary bladder
DOI:
https://doi.org/10.18203/2349-2902.isj20263010Keywords:
Catheter knotting, Infant feeding tube, Intravesical foreign body, Intravesical knotting, Self-knottingAbstract
In neonatal intensive care settings and paediatric wards, healthcare providers frequently use infant feeding tubes for urinary bladder catheterization when appropriately sized Foley catheters are unavailable. Though it is a safe procedure, it can lead to a serious problem if the catheter knots spontaneously inside the urinary bladder. This report describes an unusual complication where a 6 French feeding tube became knotted spontaneously within the bladder of a 3-month-old male infant during routine urinary catheterization performed for urine sample collection and output monitoring. The knotted catheter was extracted via percutaneous endoscopic suprapubic cystotomy. The patient had a successful post-operative recovery.
References
improper catheterization technique. Urology. 1983;22(6):673-74.
Tang PMY, Chung KLY, Leung YCL, Hung JWS, Liu CCW, Chao NSY, et al. Intra-vesical knot of bladder catheter in an extremely low birthweight neonate: a case report. J Pediatr Surg Case Rep. 2015;3(7):295-97.
Raveenthiran V. Spontaneous knotting of urinary catheters: clinical and experimental observations. Urol Int. 2006;77(4):317-21.
Arena B, McGillivray D, Dougherty G. Urethral catheter knotting: be aware and minimize the risk. CJEM. 2002;4(2):108-10.
Singh VP, Sinha S. Spontaneous knotting of urinary catheters placed with nonindwelling intent: case series and literature review. Urol Ann. 2019;11(4):443-46.
Carlson D, Mowery BD. Standards to prevent complications of urinary catheterization in children: should and should-knots. J Soc Pediatr Nurs. 1997;2(1):37-41.
Smith AB, Adams LL. Insertion of indwelling urethral catheters in infants and children: a survey of current nursing practice. Pediatr Nurs. 1998;24(3):229-34.
Foster H, Ritchey M, Bloom D. Adventitious knots in urethral catheters: report of 5 cases. J Urol. 1992;148(5):1496-98.
Anderson MH. Urethral catheter knots. Pediatrics. 1990;85(5):852-54.
Arda IS, Özyaylali İ. An unusual complication of suprapubic catheterization with Cystofix: catheter knotting within the bladder. Int J Urol. 2001;8(4):188-89.
Harris VJ, Ramilo J. Guide wire manipulation of knot in a catheter used for cystourethrography. J Urol. 1976;116(4):529.
Dogra PN, Nabi G, Goel R. Endoscopic removal of knotted urethral catheter: a point of technique. Urol Int. 2003;71(1):8-9.
Eke N, Fente BG, Echem RC. Spontaneous knotting of a feeding tube in the bladder. Ann Afr Med. 2013;12(1):40-2.
Taneja SS, Shah O. Complications of urologic surgery: prevention and management. 5th ed. Amsterdam: Elsevier; 2017.
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