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Removal of a knotted catheter lodged in an appendicostomy tract
Gregory M Halenda1, Marcela M Godoy, Alex F Flores
1Tufts Medical School, Boston, MA 02111, USA.
Abstract:
Knots are an unusual complication of catheterization procedures but have been reported in a variety of circumstances. Refractory constipation and colonic dysmotility disorders can be treated with a surgically created appendicostomy that is typically catheterized nightly to administer an antegrade colonic enema. We report a case of a catheter that formed a knot and became lodged in an appendicostomy. We describe the method used to remove the knot and make a recommendation to prevent this complication.
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