Abstract
Central vein stenosis is a rare complication that occurs after central venous port placement. We report a case of chyle withdrawal from a central venous port in a patient receiving chemotherapy for stage IV rectal cancer. Dilated thoracic duct terminal and innominate vein stenosis both were clearly shown in the angiography results, and innominate vein stenosis was resolved by performing percutaneous transluminal angioplasty.
Highlights
Implantation of central venous port is associated with many complications
We describe the case of a 54 year-old man with stage IV rectal cancer who experienced chyle withdrawal from a central venous port and had dilated thoracic duct terminal due to innominate vein stenosis
A 54 year-old man was diagnosed with stage IV rectal cancer and liver metastases
Summary
Implantation of central venous port is associated with many complications. Central vein catheters might cause mechanical and chemical injury of the vascular intima from pharmaceutical infusions, thereby leading to central vein stenosis. We describe the case of a 54 year-old man with stage IV rectal cancer who experienced chyle withdrawal from a central venous port and had dilated thoracic duct terminal due to innominate vein stenosis.
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