Presentation
Chest port for chemotherapy. Able to flush but not aspirate.
Patient Data
Age: 55 years
Gender: Female
From the case:
Fibrin sheath
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Left internal jugular chest port with the tubing intact. Tip is in the region of the superior cavoatrial junction.
Hand injection of iodinated contrast demonstrates retrograde flow in keeping with a fibrin sheath.
Case Discussion
Fibrin sheaths are a relatively common occurrence with long-term central venous catheters, and present with a classic "flush but no aspirate" problem.