Case report: Successful multimodal assessment and management of chemothorax.
Port-A-Cath
chemotherapy
chemothorax
dislocation
multidisciplinary management
pleural effusion
thoracoscopy
video-assisted thoracic surgery
Journal
Frontiers in surgery
ISSN: 2296-875X
Titre abrégé: Front Surg
Pays: Switzerland
ID NLM: 101645127
Informations de publication
Date de publication:
2022
2022
Historique:
received:
17
04
2022
accepted:
29
06
2022
entrez:
12
8
2022
pubmed:
13
8
2022
medline:
13
8
2022
Statut:
epublish
Résumé
Dislocation or wrong placement of central venous catheters into the pleural cavity is rare, but if undiagnosed, may cause major, sometimes life-threatening, complications (pneumothorax, hemothorax, infection, and migration) and accidental pleural effusion due to intravenous injection of fluids containing drugs (i.e. chemotherapy, antibiotics, parenteral nutrition, other). We report a rare case of pleural effusion consisting of chemotherapy (chemothorax) directly injected into the pleural cavity due to the wrong placement of a central venous catheter (Porth-A-Cath) in a woman with breast cancer. A multidisciplinary management consisting of antidote administration, followed by removal of the venous device and washing of the pleural cavity through video-assisted thoracic surgery (VATS), avoided any major complication related to the adverse event.
Identifiants
pubmed: 35959134
doi: 10.3389/fsurg.2022.921968
pmc: PMC9360527
doi:
Types de publication
Case Reports
Langues
eng
Pagination
921968Informations de copyright
© 2022 Panza, Quercia, Signore, De Iaco, Brascia, Sampietro, Gasbarro, Dell'Aera, Lorusso, Marulli and De Palma.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
Ann R Coll Surg Engl. 2008 Oct;90(7):597-600
pubmed: 18701011
Ann Oncol. 2007 Mar;18(3):546-50
pubmed: 17185744
Am J Emerg Med. 1998 Mar;16(2):163-5
pubmed: 9517694
Bone Marrow Transplant. 2009 Jun;43(11):891-2
pubmed: 19104494
Eur J Vasc Endovasc Surg. 2012 Jul;44(1):82-7
pubmed: 22531452
J Cancer Res Ther. 2010 Oct-Dec;6(4):573-4
pubmed: 21358106
Anticancer Res. 2012 Apr;32(4):1481-3
pubmed: 22493389
Int J Clin Oncol. 2006 Dec;11(6):467-70
pubmed: 17180516
BMJ Case Rep. 2015 Dec 10;2015:
pubmed: 26655229
Am Rev Respir Dis. 1981 Nov;124(5):588-92
pubmed: 7305114
Thorac Cancer. 2017 Jul;8(4):363-364
pubmed: 28371390
Clin Cancer Res. 2000 Sep;6(9):3680-6
pubmed: 10999761
Eur J Cardiothorac Surg. 1998 Aug;14(2):113-6
pubmed: 9754993