Portacath migration into the pleural space

Case contributed by Dr Chris O'Donnell

Presentation

Undergoing chemotherapy. Portacath inserted weeks ago without complication, now not flushing. Right sided pleuritic chest pain.

Patient Data

Age: 50
Gender: Female
Fluoroscopy

Injection of radiographic contrast into portacath under fluoroscopic control

No blood aspirated.  Resistance met with attempted contrast injection.  Contrast passes via the catheter and enters an unknown (non-vascular) space

CT

CT scan post portacath contrast injection

Tip of the catheter is in the right pleural space anteriorly and the injected contrast (arrows) has entered the right pleural space medially associated with a small pleural effusion.

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Case information

rID: 27642
Case created: 12th Feb 2014
Last edited: 13th Feb 2017
System: Chest
Inclusion in quiz mode: Included

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