We report a case of inadvertent azygos placement of a central venous catheter. The patient experienced ill-defined back pain associated with total parenteral nutrition infusion. The catheter malposition remained unrecognized and resulted in extensive diagnostic work-up. Symptoms resolved after the catheter was withdrawn. (Journal of Parenteral and Enteral Nutrition 17:91-93, 1993)
Get full access to this article
View all access options for this article.
References
1.
Maffessanti M. , Bertolotto P., Kette F., et al: Radiological detection of malpositions and complications of central venous catheters. Eur J Radiol9:101-104, 1989
2.
Cassidy FP Jr, Zajko AB, Bron KM, et al: Noninfectious complications of long-term central venous catheters: Radiologic evaluation and management . AJR149:671-675, 1987
3.
Damen J., Bolton D.: A prospective analysis of 1400 pulmonary artery catheterizations in patients undergoing cardiac surgery. Acta Anaesthesiol Scand30:386-392, 1986
4.
Vazquez RM, Brodski EG: Primary and secondary malposition of silicone central venous catheters . Acta Anaesthesiol Scand81(Suppl):22-25. 1985
5.
Webb JGSimmonds SD, Chan-Yan C.: Central venous catheter malposition presenting as chest pain. Chest89:309-311. 1986
6.
Vretis JG, Miller JJ: Unusual catheter tip placement from attempted central venous catheterization . J Emerg Med4:99-101, 1986
7.
Brandi LS, Oleggini M., Frediani M., et al: Inadvertent catheterization of the internal thoracic vein mimicking pulmonary embolism: A case report. JPEN12:221-222, 1988
8.
Jacobsen WK, Smith DC, Briggs DA, et al: Aberrant catheter placement for total parenteral nutrition. Anesthesiology50:152-154, 1979
9.
Smith DC, Pop PM: Malposition of a total parenteral nutrition catheter in the accessory hemiazygos vein. JPEN7:289-292, 1983
10.
Beauregard JF, Matsumoto AH, Paul MG, et al: Venobronchial fistula: A complication associated with central venous catheterization for chemotherapy. Cathet Cardiovasc Diagn19:49-52, 1990
11.
Hill E., Sleigh JW: Another complication of central venous catheterization. Anaesthesia41:1064, 1986