İnternal İliyak Vene Yerleşmiş bir Femoral Venöz Kateter Malpozisyonu: Olgu Sunumu

Abstract

Central venous catheters are used for many purposes in intensive care. Venous catheterization in the femoral region is safer than others regarding mechanical complications. Although femoral catheter malpositions are rare, they can lead to fatal consequences, especially when diagnosed late. In this article, the misplaced femoral central venous catheter in the internal iliac vein is presented. A 36-year-old male patient diagnosed with respiratory failure displayed septicemia symptoms during his follow-up in the intensive care unit. A blood sample from the central catheter in the right femoral region showed bacterial growth. Therefore, a new central venous catheter was placed into the left femoral vein for an inotropic infusion. According to the abdominal computed tomography scan report performed for a different reason the next day, the catheter was seen in an incorrect position. The evaluation revealed the catheter to be situated in the internal iliac vein. The catheter was removed without complications. We share a report regarding catheter malposition found in the internal iliac vein. Physicians must keep in mind that early detection of catheter malpositions is critical. Keywords: Central venous catheters, catheterization, femoral vein, catheter-related infections