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Case Reports in Anesthesiology
Volume 2016, Article ID 6124086, 3 pages
Case Report

Epidural Catheter Migration in a Patient with Severe Spinal Stenosis

Acute Pain Service, Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, 601 Elmwood Ave, P.O. Box 604, Rochester, NY 14642, USA

Received 7 September 2016; Accepted 31 October 2016

Academic Editor: Anjan Trikha

Copyright © 2016 Daryl I. Smith and Ryan Anderson. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Establishment of appropriate neuraxial catheter positioning is typically a straightforward procedural undertaking. It can, however, lead to deception of even the most experienced clinician and occur despite the most meticulous attention to detail. Written and verbal consent were obtained from the patient to prepare, discuss, and publish this case report; we describe the occurrence of what we believe was the intraoperative migration of an epidural catheter in the setting of significant tissue changes resulting from a previous spinal fusion.