Document Detail

Breast abscess following central venous catheterization.
MedLine Citation:
PMID:  1907621     Owner:  NLM     Status:  MEDLINE    
We describe a case of late perforation of the right internal mammary vein by a central venous catheter inserted via the left subclavian vein. This resulted in extravasation of parenteral nutritional fluid and breast abscess formation. Delay in reaching the diagnosis was experienced in this case and in two cases previously reported. The clinical presentation was similar in all three cases with good early function of the catheters followed by symptoms of chest pain and signs of inflammation in the breast contralateral to the site of insertion of the central venous catheter. Confirmation of correct placement of the central venous catheter must be sought in any patient who develops these symptoms or signs so that the delay in diagnosis we experienced can be avoided. This may be obtained by a lateral or oblique chest radiograph or by contrast studies if preferable.
K R Clark; M J Higgs
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Intensive care medicine     Volume:  17     ISSN:  0342-4642     ISO Abbreviation:  Intensive Care Med     Publication Date:  1991  
Date Detail:
Created Date:  1991-09-11     Completed Date:  1991-09-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7704851     Medline TA:  Intensive Care Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  123-4     Citation Subset:  IM    
Department of Surgery, Queen Elizabeth Hospital, Gateshead, UK.
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MeSH Terms
Abscess / diagnosis,  etiology*
Breast / blood supply
Breast Diseases / diagnosis,  etiology*
Catheterization, Central Venous / adverse effects*
Extravasation of Diagnostic and Therapeutic Materials / complications
Parenteral Nutrition
Time Factors
Veins / injuries
Wounds, Penetrating / complications

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