Interventional Treatment of Chemical Pleuritis and Hemothorax Caused by Iatrogenic Internal Jugular Vein Perforation after Central Venous Port System Implantation: A Case Report

• Main Authors: Do Woo Kim, Young Hwan Kim, Ung Rae Kang
• Format: Article
• Language: English
• Published: The Korean Society of Radiology 2020-11-01
• Series: 대한영상의학회지
• Subjects: central venous catheters; vascular system injuries; embolization; therapeutic
• Online Access: https://doi.org/10.3348/jksr.2020.0032

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.