Tunnelled Port-a-Cath tip with azygous vein termination

Case contributed by Dr Jayanth Keshavamurthy

Presentation

Breast cancer.

Patient Data

Age: 55 years
Gender: Female

Tunnelled left internal jugular Port-a-Cath demonstrated with the catheter tip at the level of the SVC, 0.5 cm above the level of the carina.

Heart is borderline-enlarged. Central mediastinal structures are otherwise unremarkable.

Minimal right perihilar and left lingular subsegmental atelectasis demonstrated without acute cardiopulmonary disease, pneumothorax or pleural fluid.

Impression: uncomplicated tunnelled catheter placement.
 

Tunnelled left internal jugular vein chemotherapy Port-a-Cath tip terminates within the azygous vein.

Recommend repositioning.

Case Discussion

Know the risks of placing the Port-a-cath in the azygous vein, including azygous vein thrombosis, perforation, etc.

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Case information

rID: 56571
Case created: 9th Nov 2017
Last edited: 13th Nov 2017
Inclusion in quiz mode: Included
Institution: Augusta University

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