title: [Case of indwelling catheter dislocation into the duodenum during hepatic arterial infusion chemotherapy].
abstract: A 44-year-old man underwent hepatic arterial infusion chemotherapy and systematic chemotherapy using fluorouracil (5-FU) for recurrent liver metastasis of colon cancer. He reported upper back pain 38 weeks later. Arteriography using a port system revealed a dislocated catheter tip in the second part of the duodenum. Conservative therapy using antibiotics was employed without removing the catheter tip. Various complications related to intrahepatic arterial infusion chemotherapy have been reported. Catheter chip dislocation is rare, but can sometimes become a severe complication, thereby warranting careful follow-up after hepatic arterial infusion chemotherapy.
authors.affiliation: Department of Surgery, Syuhokai Kawamura Hospital, Japan. shimamura@mail.wbs.ne.jp
authors.forename: Takahiro
authors.initials: T
authors.lastname: Shimamura
authors.forename: Rikiya
authors.initials: R
authors.lastname: Sato
authors.forename: Tadaaki
authors.initials: T
authors.lastname: Noguchi
authors.forename: Kuniaki
authors.initials: K
authors.lastname: Sasaki
authors.forename: Narisumi
authors.initials: N
authors.lastname: Cho
mesh_terms: D000328:Adult; D000964:Antimetabolites, Antineoplastic / Q000008:administration & dosage; D002408:Catheters, Indwelling / Q000009:adverse effects*; D003110:Colonic Neoplasms / Q000473:pathology; D004386:Duodenum; D005472:Fluorouracil / Q000008:administration & dosage; D006499:Hepatic Artery; D006801:Humans; D007261:Infusions, Intra-Arterial / Q000009:adverse effects*; D008113:Liver Neoplasms / Q000188:drug therapy / Q000556:secondary; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000188:drug therapy
chemical_list: D000964:Antimetabolites, Antineoplastic; D005472:Fluorouracil