Hemothorax Occurring After Central Venous Catheter Removal: A Case Report

Authors

  • Jony Dib, MD Pulmonary and Critical Care Department, Lebanese University, Beirut, Lebanon
  • Rim Boutari, MD Internal Medicine Department, Lebanese University, Beirut, Lebanon
  • Boshra Yaacoub, MD Internal Medicine Department, Lebanese University, Beirut, Lebanon
  • Nayef Al Khalil, MD Internal Medicine Department, Lebanese University, Beirut, Lebanon
  • Mohamad Al Ayoubi, MD Internal Medicine Department, Lebanese University, Beirut, Lebanon
  • Othman Itani, MD Pulmonary and Critical Care Specialist, Rafic Hariri University Hospital, Beirut, Lebanon

DOI:

https://doi.org/10.38179/ijcr.v3i1.123

Keywords:

Case report, Complication, Central line, Central venous catheter, Hemothorax

Abstract

Background:  Central venous catheterizations are used frequently in critical care unit. The procedure is associated with various complications ranging from mechanical ones during insertion and the possibility of vessel laceration and dissection to infections, not to forget haemothorax and pneumothorax that may require chest tube insertion. However, some complications may also origin from its removal.

Case Report: This is a case of a 72-year-old patient with multiple comorbidities admitted to the Intensive Care Unit (ICU) for respiratory distress. A central line was inserted because a peripheral line was hard to establish, and as a consequence of catheter removal, he had a massive right-sided hemothorax.

Conclusion: Central venous line removal could cause fatal complications such as massive hemothorax that should be looked for. We emphasize monitoring of patients after catheter removal because the uncommon nature of this complication can lead to diagnosis delay and even misdiagnosis.

References

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Chest x ray of the patient after left anterior chest tube (red arrow) was placed for drainage of the left hemothorax.

Published

2022-06-04

How to Cite

Dib, J., Boutari, R., Yaacoub, B., Al Khalil, N., Al Ayoubi, M., & Itani, O. (2022). Hemothorax Occurring After Central Venous Catheter Removal: A Case Report. International Journal of Clinical Research, 3(1), 37 - 41. https://doi.org/10.38179/ijcr.v3i1.123

Issue

Vol. 3 No. 1 (2023): Volume 3, Issue 1

Section

Articles

Copyright (c) 2022 International Journal of Clinical Research

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