Endo Shunji, Furuichi Kinya, Morimoto Kengo, Kotsuma Yasuyuki, Yamada Terumasa, Ikenaga Masakazu, Adachi Shinichi, Ohta Katsuya, Nakashima Shinsuke, Ueda Masami, Tsuda Yujiro, Takayama Hirotoshi, Itakura Hiroaki, Nishikawa Kazuhiro, Nishijima Junichi
Dept. of Gastroenterological Surgery,Higashiosaka City General Hospital.
Gan To Kagaku Ryoho. 2016 Dec;43(13):2553-2555.
A 50's underwent gastrectomy for gastric cancer 4 years before. He had received chemotherapy for para-aortic lymph node metastases. A central venous catheter with a subcutaneous port was implanted via the right subclavian vein, under ultrasonographic guidance, 1 year 3 months earlier. The patient complained of swelling in his right chest during intravenous injection of ramucirumab and paclitaxel via the port. A chest radiograph revealed that a catheter fracture. A CT scan showed that the fractured catheter had lacerated the pectoralis minor muscle and the tip was in the right inferior pulmonary artery. The catheter fragment was removed using a pigtail catheter and a snare catheter via a percutaneous transfemoral approach, without any complication. The catheter was cut at 15.5 cm from the tip. This fracture was thought to be caused by a kink in the pectoralis muscle.
