Pulsating tumour in the clavicular region of a chronic haemodialysis patient with ipsilateral vascular access catheter.
We describe the case of a 70-year-old woman who presented with a pulsating mass in the left supraclavicular region during a haemodialysis session. The frequency of the pulsations, parallel to that of the dialysis-related blood flow cycle, without blood loss at the exit site, indicated that this observation could potentially be attributed to a rupture of the silastic material in the subcutaneous track of the catheter. Our hypothesis was confirmed after removal of the catheter.
Reyns
L-M
LM
Renal Division, Department of Internal Medicine, Ghent University Hospital, Belgium. lreyns@hotmail.com
Dhondt
A
A
Petrovic
M
M
Voet
D
D
Vanholder
R
R
D000368:Aged; D002408:Catheters, Indwelling / Q000009:adverse effects*; D002968:Clavicle; D004129:Dimethylpolysiloxanes; D004868:Equipment Failure; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D011673:Pulsatile Flow; D006435:Renal Dialysis; D012828:Silicones
D004129:Dimethylpolysiloxanes; D012828:Silicones; C013830:baysilon