General Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
Paediatric Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
BMJ Case Rep. 2021 Feb 1;14(2):e239103. doi: 10.1136/bcr-2020-239103.
Implantable venous access devices are routinely used, but they are not without complications. A 4-year-old male child with B cell acute lymphoblastic leukaemia was planned for chemotherapy. Chemo port was accessed through the right internal jugular vein. Check X-ray was done, which showed the correct placement of the catheter. Two months after chemo port insertion when the patient underwent chemotherapy, he developed a fever and he was started on intravenous antibiotics. On the next two admissions, the patient had a fever with chamber site oedema for which culture was done, which revealed Pseudomonas and Candida, which responded to antibiotic and antifungal therapies. In the successive admission, the patient had immediate local oedema on injecting chemotherapy. Exploration was done, which revealed chamber base perforation. It is an infrequent complication and has been reported in only three studies.
植入式静脉通路装置通常被使用，但它们并非没有并发症。一名 4 岁男性儿童患有 B 细胞急性淋巴细胞白血病，计划接受化疗。化疗港通过右侧颈内静脉进入。进行了 X 光检查，显示导管的正确位置。化疗港插入两个月后，当患者接受化疗时，他发烧了，开始静脉注射抗生素。在接下来的两次住院期间，患者出现发热和腔室部位水肿，因此进行了培养，结果显示为假单胞菌和念珠菌，对抗生素和抗真菌治疗有反应。在连续的住院期间，患者在注射化疗药物时立即出现局部水肿。进行了探查，发现腔室底部穿孔。这是一种罕见的并发症，仅在三项研究中报告过。
