J Korean Soc Radiol.  2020 Nov;81(6):1459-1465. 10.3348/jksr.2020.0032.

Interventional Treatment of Chemical Pleuritis and Hemothorax Caused by Iatrogenic Internal Jugular Vein Perforation after Central Venous Port System Implantation: A Case Report

• Kim DW
• Kim YH
• Kang UR

• KMID: 2509108
• DOI: http://doi.org/10.3348/jksr.2020.0032

Abstract

The perforation of the intrathoracic internal jugular vein during the placement of an implantable central venous chemoport is a rare complication that is manifested by hemothorax or hemorrhagic shock. Furthermore, inappropriate instillation of a chemotherapeutic agent in the chemoport can cause chemical pleuritis, and the diagnosis of these complications prior to the instillation of chemotherapeutic agents and open thoracic surgery is mandatory. We report a patient with chemical pleuritis and hemothorax following an inappropriate instillation of a chemotherapeutic agent, through the perforated right internal jugular vein after placement of an implantable central venous chemoport. Treatment by embolization using coils and N-butyl cyanoacrylate, after percutaneous drainage, was successful.

Keyword

Central Venous Catheters; Vascular System Injuries; Embolization; Therapeutic