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Delayed Post Caudal Catheter Placement Pseudomeningocele: A Case Report
Victoria A Bradford1, Ricardo J Falcon2, Timothy R Petersen2
1From the Department of Anesthesiology, University of Kentucky, Lexington, Kentucky.
A&A Practice
|May 15, 2018
Summary
A rare infant pseudomeningocele developed after caudal catheter placement. Early recognition of diagnostic signs like mass compressibility prevents misdiagnosis and unnecessary invasive treatments.
Area of Science:
- Pediatric Surgery
- Neurology
- Anesthesiology
Background:
- Pseudomeningocele is a rare complication following procedures involving the dura mater.
- Iatrogenic causes, including regional anesthesia, are uncommon but possible.
- Infantile cases require careful diagnosis to differentiate from other pathologies.
Purpose of the Study:
- To report a rare case of pseudomeningocele in an infant after caudal catheterization.
- To highlight key diagnostic features for early and accurate identification.
- To emphasize the importance of avoiding misdiagnosis and inappropriate interventions.
Main Methods:
- Case presentation of a 7-month-old infant.
- Clinical observation of mass characteristics and response to Valsalva maneuver.
- Review of diagnostic criteria for pseudomeningocele.
Main Results:
- A pseudomeningocele formed 16 days post-caudal catheter placement.
- The infant showed no neurological deficits or signs of infection.
- The mass exhibited compressibility and increased with Valsalva maneuver.
Conclusions:
- Pseudomeningocele can occur even after uneventful caudal procedures.
- Absence of infection and presence of a compressible mass are crucial diagnostic clues.
- Timely recognition prevents misdiagnosis and guides appropriate management, avoiding invasive procedures.
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