Mestre David, Gil Francisco
Intensive Care Unit, Hospital José Joaquim Fernandes, Beja, PRT.
Cureus. 2024 Aug 5;16(8):e66245. doi: 10.7759/cureus.66245. eCollection 2024 Aug.
Central venous catheter (CVC) placement is a routine procedure in ICUs but can be associated with various complications, including misplacement and thrombosis. We present a rare case of parotid gland enlargement due to catheter-related thrombosis of the external jugular vein following ultrasound-guided placement through the subclavian vein in an 84-year-old woman. This case was managed with systemic anticoagulation and catheter removal. It emphasizes the importance of confirming correct CVC tip positioning and highlights the need for a post-procedure chest X-ray.
中心静脉导管(CVC)置入是重症监护病房的常规操作,但可能会引发各种并发症,包括位置不当和血栓形成。我们报告了一例罕见病例,一名84岁女性在经锁骨下静脉超声引导下置入导管后,因颈外静脉导管相关血栓形成导致腮腺肿大。该病例通过全身抗凝和拔除导管进行处理。它强调了确认CVC尖端正确位置的重要性,并突出了术后胸部X光检查的必要性。