Gil C, Gabaudan C, Dosseh G, Puidupin A, Petrognani R
Département d'anesthésie-réanimation, hôpital d'instruction des armées Laveran, boulevard Laveran, 13013 Marseille, France.
Ann Fr Anesth Reanim. 2008 Jun;27(6):505-8. doi: 10.1016/j.annfar.2008.03.016. Epub 2008 May 7.
Later vascular injury after central venous catheterization is not common. In literature, there are only cases reporting jugular or subclavian vein catheterization territories with a higher significative risk if the catheter is larger and in left position. We report a case of inferior vena cave perforation, nine days following femoral vein catherization for parenteral nutrition in a 72-year-old patient. This vascular perforation induced an infusion in the peritoneal and the retroperitoneal cavity with abdominal and pelvic pain. This case report may ask the question of recommendations about femoral catherization.
中心静脉置管后迟发性血管损伤并不常见。在文献中,仅有病例报道称,如果导管较大且位于左侧,颈静脉或锁骨下静脉置管区域的风险更高。我们报告一例72岁患者,在接受股静脉置管进行肠外营养九天后发生下腔静脉穿孔的病例。这种血管穿孔导致腹腔和腹膜后腔输液,并伴有腹部和盆腔疼痛。本病例报告可能会引发关于股静脉置管建议的问题。