硅胶导管移入胸腔：一例报告
Migration of silicone catheter into pleural space: a case report.
作者信息
Wong Chen-Yu, Yang Hsuan-Tzu, Hsin Chun-Hsien
机构信息
Division of Thoracic and Cardiovascular Surgery, Department of Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan.
出版信息
Oxf Med Case Reports. 2023 May 30;2023(5):omad044. doi: 10.1093/omcr/omad044. eCollection 2023 May.
BACKGROUND
The totally implantable venous access port (TIVAP) is widely used for chemotherapy, transfusions and parenteral nutritional support. Dysfunction of TIVAP is not uncommon in clinical practice in cases of several etiologies. Herein, we report a rare case of TIVAP dysfunction due to a catheter that migrated into the pleural space.
CASE PRESENTATION
We present a case of a 70-year-old man of TIVAP dysfunction due to a rare catheter extra-vascular migration into the pleural space, diagnosed by computed tomography. We decided on observation without further utilization of the TIVAP and a shift to oral chemotherapy, after a discussion with patient and his primary care oncologist.
CONCLUSION
Our case highlighted the importance of proper evaluation of TIVAP catheter location before its usage or replacement.
背景
全植入式静脉输液港（TIVAP）广泛应用于化疗、输血及肠外营养支持。在临床实践中，由于多种病因导致TIVAP功能障碍并不少见。在此，我们报告一例罕见的因导管移入胸腔导致TIVAP功能障碍的病例。
病例介绍
我们呈现一例70岁男性因罕见的导管血管外移入胸腔导致TIVAP功能障碍的病例，通过计算机断层扫描确诊。在与患者及其初级保健肿瘤学家讨论后，我们决定进行观察，不再进一步使用TIVAP，并改为口服化疗。
结论
我们的病例强调了在使用或更换TIVAP导管之前对其位置进行正确评估的重要性。
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