[Arterial port-catheter dislocation into the duodenum].
Arterial port-catheter dislocations into the duodenum are rare complications. We report on a 64-year-old male with sigmoid-resection for carcinoma, left hemihepatectomy and arterial port-catheter implantation into the common hepatic artery for liver metastases in both lobes and partial dislocation of the port system into the duodenum. Therefore, the port-catheter system had to be explanted after 8 cycles of cytostatic therapy and the duodenum had to be closed by a suture. Six months after surgery the patient felt well, a new singular metastasis in the right liver lobe could be treated successfully by laserinduced thermotherapy. At present the patient has no evidence for another metastasis.
Pfitzmann
R
R
Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Universitätsklinikum Charité der Humboldt Universität zu Berlin, Campus Virchow-Klinikum, Germany. robert.pfitzmann@charite.de
Stockmann
M
M
Steinmüller
T
T
Neuhaus
P
P
D002408:Catheters, Indwelling / Q000009:adverse effects*; D017024:Chemotherapy, Adjuvant; D003131:Combined Modality Therapy; D004384:Duodenoscopy; D004386:Duodenum / Q000473:pathology / Q000601:surgery*; D005548:Foreign-Body Migration / Q000175:diagnosis / Q000601:surgery*; D006499:Hepatic Artery; D006801:Humans; D007261:Infusions, Intra-Arterial; D008113:Liver Neoplasms / Q000188:drug therapy / Q000556:secondary / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012811:Sigmoid Neoplasms / Q000188:drug therapy / Q000601:surgery