Interventional Treatment of Chemical Pleuritis and Hemothorax Caused by Iatrogenic Internal Jugular Vein Perforation after Central Venous Port System Implantation: A Case Report
The perforation of the intrathoracic internal jugular vein during the placement of an implantable central venous chemoport is a rare complication that is manifested by hemothorax or hemorrhagic shock. Furthermore, inappropriate instillation of a chemotherapeutic agent in the chemoport can cause c...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Radiology
2020-11-01
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| Series: | 대한영상의학회지 |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2020.0032 |
| Summary: | The perforation of the intrathoracic internal jugular vein during the placement of an implantable
central venous chemoport is a rare complication that is manifested by hemothorax or
hemorrhagic shock. Furthermore, inappropriate instillation of a chemotherapeutic agent in the
chemoport can cause chemical pleuritis, and the diagnosis of these complications prior to the
instillation of chemotherapeutic agents and open thoracic surgery is mandatory. We report a
patient with chemical pleuritis and hemothorax following an inappropriate instillation of a chemotherapeutic
agent, through the perforated right internal jugular vein after placement of an
implantable central venous chemoport. Treatment by embolization using coils and N-butyl cyanoacrylate,
after percutaneous drainage, was successful. |
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| ISSN: | 1738-2637 2288-2928 |