A Complication Of Subclavian Vein Port Catheter: Bilateral Massive Pneumothorax

Year 2022, , 85 - 90, 15.04.2022

Eda Yaman , Sema Avcı

https://doi.org/10.54803/sauhsd.934560

Abstract

Today, venous port catheter systems are widely used for intermittent infusion in the long-term chemotherapy treatment of cancer patients. Complications such as infection, hematoma, rupture of the catheter, arterial injuries, catheter displacement, pneumothorax, venous thrombosis may occur depending on the place of application of this interventional procedure. Subclavian venous port catheter application carries a higher risk of unilateral pneumothorax compared to other anatomical areas. A 37-year-old female patient diagnosed with gastric malignant neoplasm was admitted to the emergency room with bilateral flank pain and dysuria for three days. Shortness of breath and lower saturation were not detected in the patient who had a history of bilateral subclavian venous port intervention attempts four days ago. Herein, we aimed to present a case of iatrogenic bilateral massive pneumothorax admitted to the emergency department and diagnosed incidentally.

Keywords

Port catheter, subclavian vein, bilateral massive pneumothorax

Subklavian Ven Port Kateteri Komplikasyonu: Bilateral Masif Pnömotoraks

Abstract

Günümüzde venöz port kateter sistemleri kanser hastalarının uzun süreli kemoterapi tedavisinde aralıklı infüzyon için yaygın olarak kullanılmaktadır. Bu girişimsel işlemin uygulama yerine bağlı olarak enfeksiyon, hematom, kataterin kırılması, arter yaralanmaları, kateterin yer değiştirmesi, pnömotoraks, venöz tromboz gibi komplikasyonlar ortaya çıkmaktadır. Subklavian venöz port kateter işlemi diğer anatomik alanlara göre daha fazla tek taraflı pnömotoraks riski taşımaktadır. Mide malign neoplazm tanısı olan 37 yaşında kadın hasta acil servise üç gündür devam eden bilateral yan ağrısı ve dizüri şikayeti ile başvurdu. Dört gün önce bilateral subklavian venöz port girişim öyküsü olan hastada nefes darlığı ve oksijen satürasyon düşüklüğü saptanmadı. Burada atipik klinikle acil servise başvuran, insidental olarak tanı konan iyatrojenik bilateral masif pnömotoraks olgusunu sunmayı amaçladık.

Keywords

Port kateter, subklavian ven, bilateral masif pnömotoraks

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