Abstract
Introduction: The Internal Jugular Vein catheter (IJV) is essential in the care of hemodialysis patients. This case presents an unusual complication of localized alveolar hemorrhage following left IJV catheterization. Case presentation: 66 years old, lady, with multiple comorbidities presented with hemoptysis and dyspnea after insertion of left internal jugular vein catheter, found to have local alveolar hemorrhage and pneumothorax. Patient started on supportive management, improving and discharged home after 2 days. Conclusion: Local alveolar hemorrhage, very rare but lethal complication can occur following IJV catheterization. Experienced physicians, ultrasound usage and avoidance of force during insertion can prevent this life-threatening complication.
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