Malposition of a totally implantable venous access catheter in the azygous vein: Report of a case |
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Authors: | Shinji Ikeda Yoshihisa Sera Hirotoshi Yamamoto Hirotsugu Terakura Mitsuhiro Yoshida Shinichiro Uchino Yoichiro Oka Miwa Akizuki |
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Institution: | (1) Department of Pediatric Surgery, Kumamoto University School of Medicine, 1-1-1 Honjo, 860 Kumamoto, Japan |
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Abstract: | We report herein the case of a 2-year-old girl with short bowel syndrome who developed chest pain 2 weeks after a totally implantable central venous access catheter had been surgically placed to facilitate total parenteral nutrition. A lateral chest X-ray and contrast flow study subsequently revealed that the catheter tip had been inserted into the azygous vein. Although this complication is very rare, it may be encountered more commonly with the increasing use of this type of venous access. Thus, we believe that a lateral chest X-ray should be routinely performed on all patients following catheter insertion to check for possible malposition of the tip in the azygous vein. |
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Keywords: | malposition azygous vein catheter |
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