Malpositioned internal jugular central venous catheter

Case contributed by Dr Henry Knipe

Presentation

Post colectomy. ICU admission.

Patient Data

Age: 80 years
Gender: Male

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. 

Zoomed image better shows the kinked CVC (tip is indicated by the arrow). 

Case Discussion

Careful evaluation of all lines to avoid complication - this is a tricky one with it not well seen without zooming on the region. 

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Case information

rID: 62165
Published: 4th Aug 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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