Migration of a port-a-cath from the femoral vein into the duodenum 10 months after implantation.

摘要: Central venous devices (CVDs) are widely used in patients with long-term access demand, such as nutritional support or drug delivery. Advances medicine have made it possible to prolong the lives of cancer and chronic illnesses, need for CVDs is rising. 1 Generally speaking, use a CVD safe convenient modality. 2 A 9-year-old girl history ornithine transcarbamylase deficiency, hyperammonemia, cerebral palsy, epilepsy was referred fever bilious vomiting. Percutaneous endoscopic gastrostomy had been performed Port-A-Cath catheter (Bard, Salt Lake City, Utah) implanted via left femoral vein 10 months before admission. On hospitalization, patient’s physical findings were unremarkable—a distressed facial expression observed during administration from Port-A-Cath. Laboratorystudiesshowedleukocytelevelsof2.2410 9 /LandC-reactive protein levels 11.5 mg/dL. Her abdominal plain film showed visualized (Figure, A). Abdominal computed tomography revealed right suprarenal cystic lesion probable dislocation B). Communication duodenum shown by retrograde venography C). Migration penetration into diagnosed, hole over posterior side second portion found operation. The intact patent, without thrombosis inside. postoperative course uneventful. rising they proved be worldwide. 3,4 However, although complications rare, high alertness must maintained indwelling CVDs. 5 Careful taking image reading may provide clue early detection, timely treatment important ensuring good outcome. n