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Japanese Journal of Clinical Oncology, Vol 29, Issue 12 643-645, Copyright © 1999 by Foundation for Promotion of Cancer Research

ORIGINAL ARTICLE

Disconnection of a venous Port-A-Cath followed by embolization after saline flush: rare case report

AW Lam, YM Chen, KY Yang, CM Tsai and RP Perng
Department of Internal Medicine, Veterans General Hospital-Taipei, School of Medicine, National Yang-Ming University, Taiwan.

A 77-year-old man presented with painful swelling of his Port-A-Cath insertion site soon after flushing with normal saline. No discomfort or abnormality was found during the saline flush. A chest roentgenogram showed that the disconnected catheter had separated from the disc and was absent from its original location. The disconnected catheter was found embolized, by chest roentgenogram and CT scan, to the right atrium and hepatic vein. The patient was treated successfully with an X-ray guided extraction of the catheter. The possibility of catheter disconnection with embolization should be considered and a chest roentgenogram performed immediately in cases of rapid swelling of subcutaneous tissue around the port chamber after fluid infusion.
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