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Intravesical knotting of a feeding tube used as a urinary catheter

Phichaya Sujijantararat1

  • 1Division of Urology, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand. sipsj@mahidol.ac.th

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|July 13, 2007
PubMed

Insights

A rare complication of pediatric urethral catheterization occurred when a feeding tube knotted inside the bladder. Removal required surgery, highlighting the need for careful insertion techniques to prevent infant urinary tract issues.

Area of Science:

  • Pediatric Urology
  • Medical Device Complications

Background:

  • Urethral catheterization is a frequent pediatric procedure.
  • Using feeding tubes as urethral catheters can lead to rare complications.

Purpose of the Study:

  • To report a case of intravesical knotting of a polyethylene feeding tube used as a urethral catheter in an infant.
  • To emphasize preventative measures for this rare complication.

Main Methods:

  • A case report detailing the event of a 5 Fr feeding tube used for urethral catheterization in an infant.
  • Description of the diagnostic and surgical intervention required.

Main Results:

  • Intravesical knotting of the polyethylene feeding tube occurred during urethral catheterization.
  • Surgical removal via cystotomy was necessary to retrieve the knotted tube.

Conclusions:

  • Intravesical knotting of feeding tubes used as catheters is a rare but serious complication in infants.
  • Proper technique, including minimal insertion depth, can prevent this issue.

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