Bilateral neck hematoma a complication of central venous catheterization: A case report

Abstract

Mechanical complications of central venous catheterization include arterial puncture, vascular injuries, catheter malposition, pneumothorax, hemothorax, air embolism, subcutaneous hematoma, and arrhythmias. In this text; we report a case of bilateral neck hematoma due to catheter malposition after venous perforation which was not noticed during central venous catheterization. A 68-year-old female patient was admitted to the emergency department with diarrhea, vomiting and low oral intake for the last week. With complaints, the patient is diagnosed as acute renal failure in another center. Jugular catheter placement two attempts one is left, and one is right, did not yield a result. Then we placed to right femoral vein. The patient was intubated to secure the airway after bilateral cervical hematoma was observed in the cervical ultrasound. The bilateral hematoma was dissolved, and she was extubated on the fifth day of hospitalization and discharged without any sequelae. Complications that may affect the airway can be seen during central vein catheterization. Early intubation may be lifesaving if respiratory tract risk is seen.

Keywords

• bilateral neck hematoma
• central venous catheterization
• complication
• case reports

References

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