Accidental portal vein catheterization during pleural drainage catheter insertion: a case report.

Case report Complications Hemorrhage Iatrogenic injuries Interventional radiology Management PDC insertion Pleural drainage catheter Portal vein

Journal

Journal of medical case reports
ISSN: 1752-1947
Titre abrégé: J Med Case Rep
Pays: England
ID NLM: 101293382

Informations de publication

Date de publication:
20 Dec 2023
Historique:
received: 22 10 2023
accepted: 28 11 2023
medline: 20 12 2023
pubmed: 20 12 2023
entrez: 20 12 2023
Statut: epublish

Résumé

Iatrogenic portal vein (PV) injuries following pleural drainage catheter (PDC) insertion are rare but life-threatening. This case report emphasizes the importance of prompt recognition and effective interventional radiology (IR) management. A 38-year-old Asian male, admitted for a non-ST-segment elevation myocardial infarction, suffered a critical PV injury during PDC insertion, leading to rapid clinical deterioration. The IR team conducted a portogram, retrieved the catheter, and successfully executed an embolization procedure. The patient's recovery, confirmed through imaging and improving liver function tests, enabled discharge with follow-up instructions. This case highlights the clinical significance of promptly recognizing and effectively managing iatrogenic PV injuries during PDC insertion, with the pivotal role of IR. Collaboration between IR and surgical teams is crucial for optimizing patient outcomes.

Sections du résumé

BACKGROUND BACKGROUND
Iatrogenic portal vein (PV) injuries following pleural drainage catheter (PDC) insertion are rare but life-threatening. This case report emphasizes the importance of prompt recognition and effective interventional radiology (IR) management.
CASE PRESENTATION METHODS
A 38-year-old Asian male, admitted for a non-ST-segment elevation myocardial infarction, suffered a critical PV injury during PDC insertion, leading to rapid clinical deterioration. The IR team conducted a portogram, retrieved the catheter, and successfully executed an embolization procedure. The patient's recovery, confirmed through imaging and improving liver function tests, enabled discharge with follow-up instructions.
CONCLUSIONS CONCLUSIONS
This case highlights the clinical significance of promptly recognizing and effectively managing iatrogenic PV injuries during PDC insertion, with the pivotal role of IR. Collaboration between IR and surgical teams is crucial for optimizing patient outcomes.

Identifiants

pubmed: 38115036
doi: 10.1186/s13256-023-04291-4
pii: 10.1186/s13256-023-04291-4
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

552

Informations de copyright

© 2023. The Author(s).

Références

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Auteurs

Sohaib Zoghoul (S)

Department of Radiology, Hamad Medical Corporation, Doha, Qatar.

Israa Al-Hashimi (I)

Department of Radiology, Hamad Medical Corporation, Doha, Qatar.

Qayed Aldebyani (Q)

Department of Radiology, Hamad Medical Corporation, Doha, Qatar.

Rahil Kassamali (R)

Department of Radiology, Hamad Medical Corporation, Doha, Qatar.

Ahmed Omar (A)

Department of Radiology, Hamad Medical Corporation, Doha, Qatar.

Ali Barah (A)

Department of Radiology, Hamad Medical Corporation, Doha, Qatar. abarah@hamad.qa.

Classifications MeSH