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Updated: May 5, 2026

Posterior Approach for Debridement of the Psoas Abscess
Published on: March 2, 2020
Breakage of an epidural catheter in the psoas muscle; case report
Sandra Elias1, Dareen Jammoul1, Samantha Succar1
1Department of Anesthesiology, Gilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University, Byblos, Lebanon.
Background:
The rupture of an epidural catheter is an exceedingly uncommon complication during patient repositioning.
Case Presentation:
This report presents an unprecedented event of an epidural catheter rupture at the level of the psoas muscle that was managed by conservative measures. The breakage occurred during an urgent catheter withdrawal, before the completion of the procedure, due to a vagal response in a patient enduring labor.
Conclusions:
Conventionally, surgical removal of retained fragments is reserved for symptomatic patients. Patient education and proper follow-up are indicated in asymptomatic cases.

