Abstract
ABSTRACT: Epidural catheter rupture is a condition rarely described in the literature, being considered rare. The reports on the subject present discussions about the possible causes and consequences in the anesthetic act. Discussions about complications are even rarer, of which neurological symptoms, pain, inflammation, root avulsion or infectious complications. Thus, this clinical case describes an event of epidural catheter rupture in a patient during preoperative analgesia, treated by surgery. Data were obtained through a review of the medical record, interview with the patient, photographic record of the diagnostic methods and review of the literature. Patient A. C., female, 28 years old, 55 kg, 1.64 m, GIPI, with previous history of pain in right hypochondrium, associated with nausea and vomiting, diagnosed with choledocholithiasis and taken to the surgical center for conventional cholecystectomy. During insertion of the catheter for anesthesia in the thoracic epidural space, the patient reported paresthesia in the right lower limb. When withdrawing needle-catheter assembly under resistance, there was rupture of the same. It was decided to perform imaging tests, which showed a catheter fragment in the computed axial tomography. Since the patient was symptomatic, an emergency surgical procedure was performed.
 Keywords: epidural anesthesia; complications; epidural catheter; break.
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