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Epidural catheter breakage
Rotura de catéter epidural
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Pereira, J. Correia, M. Fernandes" "autores" => array:3 [ 0 => array:4 [ "nombre" => "E." "apellidos" => "Pereira" "email" => array:1 [ 0 => "elisabetepereira_21@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J." "apellidos" => "Correia" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "M." "apellidos" => "Fernandes" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Department of Anesthesiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Department of Anesthesiology, Instituto Português de Oncologia do Porto, Porto, Portugal" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Rotura de catéter epidural" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 602 "Ancho" => 950 "Tamanyo" => 66355 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Tomography scan of the lumbar spine, axial plane, with a foreign body adjacent to the inferior articular process of L1.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 35-year-old female was seen at the emergency department for aggravation of severe low back pain and paresthesia of the left lower limb. The symptoms had started three years after labor analgesia with an epidural catheter. No mention of catheter breakage had been made to her at that time, and the presence of a retained foreign body had never been reported. She underwent tomography scan which revealed a foreign body adjacent to the inferior articular process of L1 (<a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a>). The patient was referred to neurosurgery, where surgical extraction was decided. At discharge, the patient showed improvement in symptoms. Breakage of an epidural catheter is a rare but serious adverse event. Catheter fragments are inert and unlikely to create a foreign body reaction. In these situations, the patient must be followed up as an outpatient. In this specific case, the patient presented an unknown delayed clinical presentation. Correct identification of a broken catheter on X-ray is difficult, even with the latest techniques and equipment.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Pereira E, Correia J, Fernandes M. Rotura de catéter epidural. 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