Bronchial erosion and migration of implantable port

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Imaging studies showed the tip of the catheter to be crossing the superior mediastinum into the upper lobe of the right lung” Mohamad et al (2019).

Abstract:

INTRODUCTION: Several possible complications are known to be related to central venous catheters.

PRESENTATION OF CASE: A 20-year-old lady had a catheter (Port-a-Cath) inserted in the left subclavian vein to treat Hodgkin’s lymphoma. One year after insertion, on receiving intravenous chemotherapy the patient began coughing. Imaging studies showed the tip of the catheter to be crossing the superior mediastinum into the upper lobe of the right lung. The patient was taken to the operating room and the Port-a-Cath catheter was removed intact.

DISCUSSION: Migration is a rare complication associated with insertion of these lines. Accompanying erosion into an airway is even rarer.

CONCLUSION: Any unexplained deterioration in the respiratory system should raise suspicion of catheter migration and bronchial erosion.

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Reference:

Mohamad, M., Al-Tawarah, T.A.S., Aladaileh, M.A.A.O., Khalaf, A.H., Hawasheen, H.H. and Abu-Abeeleh, M. (2019) Bronchial erosion and migration of Port-A-Cath, a case report. International Journal of Surgery Case Reports. 60, p.376-378. doi: 10.1016/j.ijscr.2019.06.049.

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