Malposition of central lines into azygos vein

Case contributed by Dr Jayanth Keshavamurthy

Presentation

The chest x-ray obtained for PICC line position after placement in patient 1 and an ICU chest X ray in the patient 2.

Patient Data

Age: Adult
Gender: Female

In both these cases, the catheter tip was malpositioned. It was in the azygos vein and was adequately repositioned.

Abrupt bend at the tip of a central venous catheter is seen in both cases.

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