Rectal puncture complicating caudal blockade in a child with severe rectal distension

Vivian Sathianathan; Nadine Dobby

doi:10.1111/pan.12688

Rectal puncture complicating caudal blockade in a child with severe rectal distension

Paediatr Anaesth. 2015 Oct;25(10):1063-5. doi: 10.1111/pan.12688. Epub 2015 Jul 7.

Authors

Vivian Sathianathan¹, Nadine Dobby²

Affiliations

¹ Magill Department of Anaesthesia, Chelsea and Westminster Hospital, London, UK.
² Department of Anaesthesia, Great Ormond Street Hospital, London, UK.

PMID: 26149948
DOI: 10.1111/pan.12688

Abstract

We describe a case of unrecognized rectal puncture following unsuccessful caudal blockade in a patient later found to have marked rectal distension on MRI. This may have contributed to the rectal injury.

Keywords: anesthesia; caudal; constipation; iatrogenic disease; intraoperative complications; magnetic resonance imaging; pediatrics.

Publication types

Case Reports

MeSH terms

Anesthesia, Caudal / adverse effects*
Child, Preschool
Female
Hernia, Umbilical / surgery*
Humans
Iatrogenic Disease
Intraoperative Complications / diagnosis*
Magnetic Resonance Imaging
Rectum / abnormalities*
Rectum / injuries*