title: Accidental cannulation of a femoral central venous catheter into the iliolumbar vein: incidental detection by bone scintigraphy.
abstract: Central venous catheterization at the femoral site is associated with higher complication rates of infections and thrombosis than at the jugular or subclavian sites. However, the procedure of insertion at the femoral site is considered safer. We present a unique but dangerous positioning of a left femoral central venous catheter into the iliolumbar vein. We were aware of this accidental cannulation by chance when our patient underwent bone scintigraphy. Although a few cases were reported about accidental cannulation into the ascending lumbar vein, this is the first case where a femoral central venous catheter was misplaced into the iliolumbar vein.
authors.affiliation: From the First Department of Internal Medicine, University of Toyama, Toyama, Toyama, Japan.
authors.forename: Koichiro
authors.initials: K
authors.lastname: Shinoda
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Taki
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Hounoki
authors.forename: Reina
authors.initials: R
authors.lastname: Tsuda
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Tobe
mesh_terms: D001842:Bone and Bones / Q000000981:diagnostic imaging*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D062905:Central Venous Catheters; D005260:Female; D006801:Humans; D033162:Incidental Findings; D019300:Medical Errors; D008875:Middle Aged; D011877:Radionuclide Imaging