Inadvertent intraspinal placement of a Foley catheter in severe craniofacial injury with associated atlanto-occipital dislocation: case report.

Porras, L F; Cabezudo, J M; Lorenzana, L; Garcia-Yagüe, L M; Rodriguez-Sanchez, J A · Neurosurgery · 1993

case_report · Level V

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Abstract

A case of fatal, inadvertent, intraspinal placement of a Foley urinary catheter is presented. The patient suffered a severe craniofacial injury with life-threatening epistaxis requiring emergent tamponade with two Foley catheters plus gauze packing. There was an associated atlanto-occipital dislocation. The mechanism of production is discussed, and guidelines to avoid this complication are outlined.

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