Journal of Pediatric Surgery Case Reports (Nov 2021)

Spontaneous knotting of an antegrade continent enema catheter

  • Sun Jung Kim,
  • Ho Jong Jeon,
  • In Geol Ho,
  • Kyong Ihn,
  • Seok Joo Han

DOI
https://doi.org/10.1016/j.epsc.2021.102033
Journal volume & issue
Vol. 74
p. 102033

Abstract

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Malone antegrade continent enema (ACE) is a procedure in which an appendicostomy is performed to effectively control intractable fecal incontinence. In this procedure, spontaneous knotting of the enema catheter inside the cecum may occur, albeit rarely. In such a situation, the knot of the ACE catheter in the cecum could not be removed easily. Here, we aimed to report two cases of spontaneous knotting of the ACE catheter during routine ACE. Moreover, we aimed to discuss the mechanism of spontaneous knotting of the catheter during ACE, preventive methods, and methods to remove the knotted catheters.

Keywords