Current medical imaging · 2024
Iatrogenic Budd-chiari Syndrome from Misplacement of Right Internal Jugular Central Vein Catheter: A Case Report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Garmpis Nikolaos, Prevezanos Dionysios, Belivanis Michail, Psilopatis Iason, Papoutsas Dimitrios, Garmpi Anna, Dimitroulis Dimitrios, Damaskos Christos
Аннотация
INTRODUCTION/BACKGROUND: Budd-Chiari syndrome is a rare entity that is caused by an obstruction of the flow in the hepatic veins or inferior vena cava.
CASE PRESENTATION: Herein, we report a rare case of iatrogenic Budd-Chiari syndrome. A 52-year-old woman with chronic renal failure under hemodialysis, presented to our hospital for dyspnea caused by a large pleural effusion. After the placement of the central right jugular vein catheter, she suffered from right upper quadrant acute abdominal pain along with elevation of liver function enzymes in blood tests. An abdominal computed tomography with contrast revealed obstruction of the right hepatic vein by the catheter tip with concomitant thrombosis, thus the diagnosis of Budd-Chiari syndrome was confirmed. Removal of the catheter and anticoagulant therapy were successfully utilized to treat the patient.
CONCLUSION: Knowledge of the full spectrum of adverse effects of such a procedure is crucial for their early identification and treatment, often with a multidisciplinary approach.
CASE PRESENTATION: Herein, we report a rare case of iatrogenic Budd-Chiari syndrome. A 52-year-old woman with chronic renal failure under hemodialysis, presented to our hospital for dyspnea caused by a large pleural effusion. After the placement of the central right jugular vein catheter, she suffered from right upper quadrant acute abdominal pain along with elevation of liver function enzymes in blood tests. An abdominal computed tomography with contrast revealed obstruction of the right hepatic vein by the catheter tip with concomitant thrombosis, thus the diagnosis of Budd-Chiari syndrome was confirmed. Removal of the catheter and anticoagulant therapy were successfully utilized to treat the patient.
CONCLUSION: Knowledge of the full spectrum of adverse effects of such a procedure is crucial for their early identification and treatment, often with a multidisciplinary approach.