Document Detail

Expect the unexpected: malposition of a large-bore central venous catheter in the urinary bladder.
MedLine Citation:
PMID:  15542995     Owner:  NLM     Status:  MEDLINE    
We report the case of a femoral vein cannulation in a critically ill trauma patient with the malposition of a large-bore central venous catheter in the urinary bladder. Recognition of the malposition was hampered by bloody tamponade of the bladder in the context of blunt thoraco-abdominal trauma with kidney and liver laceration. A high index of clinical suspicion and the institution of adequate therapy were the key to achieving a successful clinical outcome. We discuss the anatomy of femoral veins, including their close relation to a distended bladder. The application of ultrasound even in emergency situations is stressed.
Wolfram Schummer; Claudia Schummer; Andrej Gorse; Udo Becker; Christiane Marx; Martin Brauer
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of emergency medicine : official journal of the European Society for Emergency Medicine     Volume:  11     ISSN:  0969-9546     ISO Abbreviation:  Eur J Emerg Med     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2004-11-15     Completed Date:  2005-04-18     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9442482     Medline TA:  Eur J Emerg Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  351-4     Citation Subset:  IM    
Clinic for Anaesthesia and Intensive Care Medicine, Friedrich Schiller University of Jena, Jena, Germany.
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MeSH Terms
Accidents, Traffic
Catheterization, Central Venous*
Emergency Medical Services
Femoral Vein / pathology
Urinary Bladder / pathology,  ultrasonography*

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