Garcez Barhbara Brenda Dias, Eulálio Walberto Monteiro Neiva, Vieira Sabas Carlos
Universidade Estadual do Piauí - UESPI, Faculdade de Medicina, Teresina, PI, Brasil.
Universidade Federal do Piauí - UFPI, Faculdade de Medicina, Teresina, PI, Brasil.
J Vasc Bras. 2018 Jan-Mar;17(1):89-92. doi: 10.1590/1677-5449.007717.
Fracture of a peripherally inserted catheter causing embolization in patients on chemotherapy is a serious and rare complication, constituting less than 1% of complications related to this procedure. We report here a case of fully implantable catheter embolization in a 57-year-old female who had undergone laparotomy for complex adnexal lesion due to ovary cancer with disseminated peritoneal carcinomatosis, diagnosed intraoperatively. The patient was treated with hysterectomy and bilateral salpingo-oophorectomy, and radical oncological surgery was not performed. Histopathological analysis revealed G3 ovarian adenocarcinoma. In October 2013, a routine radiological examination diagnosed fracture and embolization of the distal segment of the catheter into the retrohepatic and suprahepatica inferior vena cava. The patient did not present any symptoms. The catheter was withdrawn through the femoral vein using the snare technique, without complications. The patient has no evidence of disease 24 months after the procedure.
化疗患者外周置入导管骨折导致栓塞是一种严重且罕见的并发症,占该操作相关并发症的比例不到1%。我们在此报告一例57岁女性完全植入式导管栓塞病例,该患者因卵巢癌伴弥漫性腹膜癌病接受了复杂附件病变剖腹手术,术中确诊。患者接受了子宫切除术和双侧输卵管卵巢切除术,未进行根治性肿瘤手术。组织病理学分析显示为G3级卵巢腺癌。2013年10月,常规影像学检查诊断导管远端段骨折并栓塞至肝后和肝上下腔静脉。患者未出现任何症状。采用圈套技术经股静脉取出导管,无并发症发生。术后24个月患者无疾病证据。