A rare complication of pediatric catheterization.

Catheterization is a safe and effective nursing intervention that is taught to almost every nursing student in the country. Most of the complications students are encouraged to prevent include: infection, skin irritation, trauma due to failing to release the bubble when removing the catheter, and obstruction. Rarely are additional problems encountered. Case studies can often alert us to the possibility of rare and unanticipated complications. The following is an example of just such a case study.