title: Malposition of a totally implantable venous access catheter in the azygous vein: report of a case.
abstract: We report herein the case of a 2-year-old girl with short bowel syndrome who developed chest pain 2 weeks after a totally implantable central venous access catheter had been surgically placed to facilitate total parenteral nutrition. A lateral chest X-ray and contrast flow study subsequently revealed that the catheter tip had been inserted into the azygous vein. Although this complication is very rare, it may be encountered more commonly with the increasing use of this type of venous access. Thus, we believe that a lateral chest X-ray should be routinely performed on all patients following catheter insertion to check for possible malposition of the tip in the azygous vein.
authors.affiliation: Department of Pediatric Surgery, Kumamoto University School of Medicine, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Ikeda
authors.forename: Y
authors.initials: Y
authors.lastname: Sera
authors.forename: H
authors.initials: H
authors.lastname: Yamamoto
authors.forename: H
authors.initials: H
authors.lastname: Terakura
authors.forename: M
authors.initials: M
authors.lastname: Yoshida
authors.forename: S
authors.initials: S
authors.lastname: Uchino
authors.forename: Y
authors.initials: Y
authors.lastname: Oka
authors.forename: M
authors.initials: M
authors.lastname: Akizuki
mesh_terms: D002408:Catheters, Indwelling / Q000009:adverse effects*; D002675:Child, Preschool; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D007431:Intraoperative Complications; D010289:Parenteral Nutrition, Total; D012778:Short Bowel Syndrome / Q000628:therapy*