Abstract
Central venous placement using ultrasound has significantly reduced the complications associated with blind puncture. The central venous catheter can still get misplaced if it follows an anomalous route after appropriate puncture of desired vessel. We report a case of misplaced dialysis catheter into the accessory hemiazygos vein which resulted in a large hemothorax and we recommend the routine use of fluoroscope for placement of dialysis catheters so as to avoid serious complication.
Highlights
Central line placement is associated with risk of inadvertent puncture of artery, pleura and other nearby structures
We report here a case of misplaced dialysis catheter into the accessory hemiazygos vein
With ultrasound we assessed her internal jugulars. Her previous tunneled catheter which she had pulled out before was in the right internal jugular
Summary
Central line placement is associated with risk of inadvertent puncture of artery, pleura and other nearby structures. We report here a case of misplaced dialysis catheter into the accessory hemiazygos vein. She had had dialysis catheter placed many times which she had pulled out during her bursts of aggressive behavior. This time she presented without a dialysis catheter.
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