A Complication Of Subclavian Vein Port Catheter: Bilateral Massive Pneumothorax

Yıl 2022, Cilt: 5 Sayı: 1, 85 - 90, 15.04.2022

Eda Yaman , Sema Avcı

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

Öz

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.

Anahtar Kelimeler

Port catheter, subclavian vein, bilateral massive pneumothorax

Subklavian Ven Port Kateteri Komplikasyonu: Bilateral Masif Pnömotoraks

Öz

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.

Anahtar Kelimeler

Port kateter, subklavian ven, bilateral masif pnömotoraks

Kaynakça

• 1. Ruchan A, Deniz A, Ali C. Port catheter complications and thrombosis issues: assessment of 114 patients with port catheter implantation by single surgeon. Biomedical Research and Therapy (Electronic Journal) 29Dec.2017 [cited 7May2021];4(12):1898-910. Available from:http://www.bmrat.org/index.php/BMRAT/article/view/401 doi : 10.15419/bmrat.v4i12.401
• 2. Biffi R, Pozzi S, Pace U, Cenciarelli S, Zambelli M, Andreoni B. Treatment of Pneumothorax as a Complication of Long-Term Central Venous Port Placement in Oncology Patients. An Observational Study. The Journal of Vascular Access. 2001;2(3):129-136. doi:10.1177/112972980100200309
• 3. Madabhavi I, Patel A, Sarkar M, Anand A, Panchal H, Parikh S. A Study of Use of "PORT" Catheter in Patients with Cancer: A Single-Center Experience. Clinical Medicine Insights: Oncology. 2017;11:1179554917691031. doi: 10.1177/1179554917691031
• 4. Machat S, Eisenhuber E, Pfarl G, et al. Complications of central venous port systems: a pictorial review. Insights Imaging. 2019;10(1):86. doi: 10.1186/s13244-019-0770-2
• 5. Tsotsolis N, Tsirgogianni K, Kioumis I, et al. Pneumothorax as a complication of central venous catheter insertion. Annals of Translational Medicine. 2015;3(3):40. doi: 10.3978/j.issn.2305-5839.2015.02.11
• 6. Kewcharoen J, Morris P, Kanitsoraphan C, La H, Sriratanaviriyakul N. Simultaneous Bilateral Primary Spontaneous Pneumothorax: A Case Report and a Review of the Literature. Case Reports in Pulmonology. 2019;1:1-6. doi: 10.1155/2019/6583842
• 7. Dübüş T, Uzman Ö, Demiryontar D, Kiraz R, Vatansever Ş . İyatrojenik pnömotorakslar: 27 olgunun analizi. Istanbul Medical Journal. 2012;13:133-136. doi: 10.5505/1304.8503.2012.86547
• 8. Samancı T , Molinas Mandel N , Bozkurt A.K , Kutlu F , Uras C . 115 Kanser Hastasında Port Komplikasyonlarının Değerlendirilmesi. Cerrahpaşa Tıp Dergisi. 2004;35(2): 0- .
• 9. Karamustafaoğlu Y.A, Yörük Y, Tarladaçalışır T, Koçal S, Tiryaki Yağcı S, Çiçin İ. Implantations of Central Venous Ports with Chest Catheter Insertion Via the Subclavian Vein in Oncology Patients: A Single Center Experience. Acta Oncologia Turcica. 2009;42(3):105-108.
• 10. Kusminsky RE. Complications of central venous catheterization. Journal of the American College of Surgeons. 2007;204(4):681-96. doi: 10.1016/j.jamcollsurg.2007.01.039
• 11. Kermenli T, Azar C. A Life-threatening Complication of Acupuncture Theraphy: Bilateral Pneumothorax. Respiratory Case Reports (Electronic Journal) 2020; 9(2): 43-46. https://respircase.com/TR/jvi.aspx?un=RCR-98360&volume=9&issue=2. (Erişim tarihi: 7 Mayıs 2021)
• 12. Akın SE, Aras NF. Bronchial Rupture In A Multitrauma Patient: A Case Report. Medical Journal of Süleyman Demirel University. 2019; 26(4): 494-497. doi: 10.17343/sdutfd.644949