Skip to main content

Totally Implanted Venous Catheter: What Can Go Wrong

Totally Implanted Venous Catheter: What Can Go Wrong

Marisa C. Couto*, Nuno Teixeira Tavares and Miguel Barbosa

Serviço de Oncologia Médica, Unidade Local de Saúde de São João; Porto, Portugal

*Corresponding author: Marisa C. Couto, Serviço de Oncologia Médica, Unidade Local de Saúde de São João; Porto, Portugal. E-mail: coutomarisa18@gmail.com

Received: July 20, 2025; Accepted: August 02, 2025; Published: August 15, 2025

Citation: Couto MC, Tavares NT, Barbosa M. Totally Implanted Venous Catheter: What Can Go Wrong? Clin Image Case Rep J. 2025; 7(5): 569.

Abstract

A 50-year-old woman with a BRCA1 mutation was diagnosed with triple-negative carcinoma of the left breast in 2022. To initiate neoadjuvant chemotherapy, a totally implanted subclavian catheter was inserted. After three months of use, it developed a thrombosis and had to be removed. A second catheter was then inserted into the left brachial vein. Immediately after placement, the patient developed cellulitis in the left upper limb, which resolved following treatment with flucloxacillin. Three months later, drainage of a whitish fluid through the catheter was observed (A). Analysis confirmed it was lymph, likely due to displacement into the thoracic duct insertion at the left subclavian vein (B). The catheter was removed. The patient subsequently underwent mastectomy, adjuvant capecitabine, and is currently under surveillance. This case highlights the potential complications of implanted catheters in oncology patients, including thrombosis, infection, and, less commonly, lymphatic migration – all of which can delay cancer treatment.

https://www.literaturepublishers.org/archive/Totally-Implanted-Venous-Catheter:-What-Can-Go-Wrong.html

Labels:
Location: Portugal

Comments

Post a Comment

Popular posts from this blog

Recurrent Phytobezoar Presenting with Small Bowel Obstruction

Recurrent Phytobezoar Presenting with Small Bowel Obstruction *Corresponding author: Louise Dunphy, Department of Surgery, Wexham Park Hospital, Slough, UK, E-mail: Louise.Dunphy@doctors.org.uk Citation: Louise Dunphy, Syed Hussain Abbas and Stephen Baxter, et al. Recurrent Phytobezoar Presenting with Small Bowel Obstruction. Clin Image Case Rep J. 2019; 1(1): 105. Abstract  Small bowel obstruction is a common presentation to the emergency department, with causes including adhesions, hernia, malignancy, volvulus or complications of inflammatory bowel disease such as a stricture in Crohn’s disease. Indeed, it accounts for 20% of hospital admissions annually. Phytobezoars are a concentration of poorly digested fruit such as orange pith or pulp and vegetable fibres found in the alimentary tract in patients with a history of previous surgery or persimmon in patients without [1]. Small bowel phytobezoars are rare and are almost always obstructive. They pose a diagnostic a...
Post a Comment
Read more

Exporter of Reprints (Printed Material)

  What is Reprints? Reprints generally refer to copies of a previously published work. The meaning can vary slightly depending on the context: In Publishing (Books, Journals, Articles): • Reprints are additional printed copies of an article or book that has already been published. • Authors often request reprints of their scientific or medical journal articles to distribute to colleagues, conferences, or patients. • Book reprints are new print runs of a previously released edition, often without changes. Example • A doctor publishes a case report in a journal and requests 500 reprints to distribute at a medical conference. • A publisher prints a second batch of an already released novel — that’s a reprint. Use of Reprints Published article hard copy and reprints may be used to display the potential of the article at interviews, conferences, distribution to colleagues, seminars and other promotional activities, etc. Exporter of Reprints (Printed Material) We are an ex...
Post a Comment
Read more

Clinical Images and Case Reports Journal

  Clinical Images and Case Reports Journal (CICRJ)  is a peer-reviewed high impact factor PMC indexed medical journal established Internationally which provides a platform to publish Clinical Images, Medical Case Reports, Clinical Case Reports, Case Series (series of 2 to 6 cases), Research, Reviews and Clinical Videos in Medicine. Journal encourages publication of medical case reports for physicians and medical aspirants to share different results in the form of clinical image articles and medical case reports, which have been encountered in different medical sub-specialties or cases which leads to a higher understanding of the medical conditions, medicines, diagnosis and management. Medical case reports journal presents different possibilities to enhance worldwide health outcomes. Clinical case reports journal publishes methods of diagnosis, treatment, and prevention of diseases. Clinical imaging journal will consider any original case report in medicine that...
Post a Comment
Read more