Endotracheal migration of a central venous catheter.
Subcutaneous infusion ports for prolonged central venous access are commonly used for drug administration and parenteral nutrition in a wide range of chronic diseases. The extensive use of these devices has to be balanced against its complications, some of which potentially life-threatening. We describe the case of a patient admitted to our unit with haemoptysis and cough. At bronchoscopy the tip of the central venous catheter was discovered protruding into the tracheal lumen. The catheter was pulled out from the subcutaneous pouch under simultaneous surgical control of the tracheal fistula orifice.
Cattelani
L
L
Unit of Thoracic Surgery, Department of Surgery University of Parma, Parma, Italy. evymkg@hotmail.com
Bobbio
A
A
Carbognani
P
P
Rusca
M
M
Internullo
E
E
D000328:Adult; D001999:Bronchoscopy; D002405:Catheterization, Central Venous; D002408:Catheters, Indwelling / Q000009:adverse effects*; D005548:Foreign-Body Migration / Q000150:complications*; D006801:Humans; D008297:Male; D016156:Respiratory Tract Fistula / Q000209:etiology*; D014133:Tracheal Diseases / Q000209:etiology*