title: Mediastinal haematoma: a rare complication following insertion of central venous catheter.
abstract: Mediastinal haematoma is a rare complication following insertion of central venous catheter, with few cases reported in the literature. We report a case of mediastinal haematoma in a 33-year-old male patient with end-stage renal disease. In this patient central venous catheter insertion through the right subclavian vein was attempted on the operation table for renal transplantation but the procedure was abandoned as the attempt was unsuccessful. Post-procedure chest radiograph showed a large mediastinal haematoma occupying right hemithorax that developed as a result of injury to the subclavian vein. Patient was managed conservatively and haematoma completely resolved in four weeks time. This case is being reported to signify the importance of routine obtaining a post-procedure chest radiograph and to state that even large mediastinal haematoma can be managed conservatively in asymptomatic patients.
authors: Department of Surgical Disciplines, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
authors: Pankaj
authors: P
authors: Gupta
authors: Sandeep
authors: S
authors: Guleria
authors: Sanjay
authors: S
authors: Sharma
mesh_terms: D000328:Adult; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007431:Intraoperative Complications; D007676:Kidney Failure, Chronic / Q000601:surgery; D016030:Kidney Transplantation; D008297:Male; D008477:Mediastinal Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D013350:Subclavian Vein / Q000293:injuries*; D014057:Tomography, X-Ray Computed / Q000379:methods