Diamantidis Dimitrios, Papatheodorou Nikolaos, Perente Sempachedin, Botaitis Sotirios
1st General Surgery Department, University Hospital of Alexandroupolis, Alexandroupolis, GRC.
Cureus. 2022 Jul 17;14(7):e26937. doi: 10.7759/cureus.26937. eCollection 2022 Jul.
Venous port catheters are devices that allow access to the central venous system and, in clinical practice, are used for patients who require long-term intravenous therapy. The ideal position of the catheter tip is the distal superior vena cava and can be confirmed by a postoperative chest X-ray. Complications during and after the implantation are not rare, but spontaneous migration of the catheter tip into the internal jugular vein is an uncommon complication. Catheter migration may be accompanied by neck, shoulder, and ear pain. Venous phlebitis and thrombosis, and neurological complications, can become potentially life-threatening. We report a case of a spontaneous catheter tip migration into the right internal jugular vein that was diagnosed in a random chest roentgenography. The patient was taken to the operative room, and the catheter was successfully removed.
静脉留置导管是一种可进入中心静脉系统的装置，在临床实践中，用于需要长期静脉治疗的患者。导管尖端的理想位置是上腔静脉远端，可通过术后胸部X光片确认。植入过程中和植入后的并发症并不罕见，但导管尖端自发移入颈内静脉是一种罕见的并发症。导管移位可能伴有颈部、肩部和耳部疼痛。静脉炎、血栓形成以及神经并发症可能会危及生命。我们报告一例在随机胸部X线检查中诊断出的导管尖端自发移入右颈内静脉的病例。患者被送往手术室，导管被成功取出。
