Malpositioned internal jugular central venous catheter
Diagnosis certain
Disclosures
- updated 6 Apr 2022:
- Radiopaedia Events Pty Ltd, Speaker fees (past)
- Integral Diagnostics, Shareholder (ongoing)
- Micro-X Ltd, Shareholder (ongoing)
Updates to Study Attributes
Findings
was changed:
Right internal jugular CVC is kinked back on itself and the tip is projected cranially. Free gas under the right hemidiaphragm in keeping with recent abdominal surgery.
Images Changes:
Image X-ray (Frontal) ( update )
Cropped
image
Image 1 X-ray (Frontal) ( create )
Annotation 815
changed from ,1 arrow,1 label to Kinked CVC tip,1 arrow,1 label.
Updates to Study Attributes
Caption
was added:
Zoomed
Modality
changed from Annotated image to X-ray.
Findings
was changed:
Zoomed image better shows the kinked CVC (tip is indicated bywith the arrow)tip facing cranially.
Images Changes:
Image 1 X-ray ( create )
Annotation 816
changed from ,1 arrow,1 label to Kinked CVC tip,2 arrows,1 label.
Updates to Case Attributes
Body
was changed:
Careful evaluation of all lines is required to avoid missing a malposition or complication - this is a tricky onecase with itthe kinked CVC tip not well seen without zooming on the region.
-<p>Careful evaluation of all lines to avoid complication - this is a tricky one with it not well seen without zooming on the region. </p>- +<p>Careful evaluation of all lines is required to avoid missing a malposition or complication - this is a tricky case with the kinked CVC tip not well seen without zooming on the region. </p>