Massive fluidopneumothorax after implantation of a totally implantable venous access port: report of a case

作者：Ott J; Kromer M; Herbst F; Dauser B^*

来源：European Surgery-Acta Chirurgica Austriaca, 2012, 44(4): 281-284.

DOI：10.1007/s10353-012-0086-7

• Totally implantable venous access port
• intrathoracic extravasation
• chest x-ray
• complication
• adverse event

BACKGROUND: Extravascular catheter placement during implantation of totally implantable venous access port (TIAP) is a rare complication. METHODS: Case report. RESULTS: We report a case of a 48-year-old woman with a normal postoperative chest x-ray developing a massive fluidopneumothorax after first application of chemotherapy via TIAP. Intravenous catheter placement was not confirmed by aspiration of blood after TIAP implantation. Postoperative chest X-ray was performed describing the catheter to be in correct position. CONCLUSIONS: Aspiration of blood should be done directly after TIAP implantation to prove intravascular position of catheter. Postoperative chest X-ray without a contrast medium fails to detect extravascular catheter placement.

• 出版日期2012-8