Pitfall in pediatric dialysis: malposition of a dialysis catheter mimicking azygos continuation syndrome.
Central venous catheters are established as vascular access in hemodialysis therapy. Vascular catheter misdirection may occur and is a well known problem. We present a rare catheter malposition in a young dialysis patient with consequent dilatation of the azygos vein system, simulating the appearance of an azygos continuation syndrome.
Demant
A W
AW
Department of Diagnostic, Interventional and Pediatric Radiology, University Hospital of Berne, Inselspital, Switzerland. andre.demant@t-online.de
Rattunde
H
H
Abderhalden
S
S
Von Vigier
R
R
Wolf
R W
RW
D000293:Adolescent; D001401:Azygos Vein / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation; D002408:Catheters, Indwelling / Q000009:adverse effects*; D020878:Device Removal; D003937:Diagnosis, Differential; D004108:Dilatation, Pathologic; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D011857:Radiographic Image Interpretation, Computer-Assisted; D006435:Renal Dialysis; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D014652:Vascular Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D054079:Vascular Malformations / Q000000981:diagnostic imaging / Q000473:pathology*