You are called after hours to evaluate clear liquid leaking from an “epidural catheter puncture hole.” The patient is a 50-yr-old Asian male (American Society of Anesthesiologists physical status 2) who had an exploratory laparotomy with gastrostomy for gastric cancer 5d before. He had an epidural catheter, through which epidural hydromorphone had been used until the 2nd postoperative day, when it was removed intact. The patient is sitting up in bed and not complaining of anything, not even a headache. His past history and examination are noncontributory
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References
Ennis M, Brock-Utne JG. Delayed cutaneous fluid leak from the puncture hole after removal of an epidural catheter. Anaesthesia 1993;48:317-318.
Vanner RG. Acetylcholinesterase - a specific marker for cerebrospinal fluid. Anaesthesia 1988;43:299-300.
Jawalekar SR, Marx GF. Cutaneous cerebrospinal fluid leakage following attempted extradural block. Anesthesiology 1981;54:348-349.
Morparia HK, Vontivillu J. Case report: Cerebrospinal fluid fistula - a rare complication of myelography. Clin Radiol 1991;44:205.
Downey L, Slater EM, Zeitlin GL. Differentiating interstitial fluid from cerebrospinal fluid. Anesthesiology 1985;63:120.
Liberman LM, Tourtellotte WW, Newkirk TA. Prolonged post-lumbar puncture cerebrospinal fluid leakage from lumbar subarachnoid space demonstrated by radio isotope myelography. Neurology 1971;21:925-929.
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(2008). Delayed Cutaneous Fluid Leak After Removal of an Epidural Catheter. In: Clinical Anesthesia. Springer, New York, NY. https://doi.org/10.1007/978-0-387-72525-3_34
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DOI: https://doi.org/10.1007/978-0-387-72525-3_34
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