학술논문
Accidental portal vein catheterization during pleural drainage catheter insertion: a case report.
Document Type
Case Study
Author
Source
Subject
*PORTAL vein
*INTRAVENOUS catheterization
*CATHETERS
*LIVER function tests
*IATROGENIC diseases
*MYOCARDIAL infarction
*PLEURAL effusions
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Language
ISSN
1752-1947
Abstract
Background: Iatrogenic portal vein (PV) injuries following pleural drainage catheter (PDC) insertion are rare but life-threatening. This case report emphasizes the importance of prompt recognition and effective interventional radiology (IR) management. Case presentation: A 38-year-old Asian male, admitted for a non-ST-segment elevation myocardial infarction, suffered a critical PV injury during PDC insertion, leading to rapid clinical deterioration. The IR team conducted a portogram, retrieved the catheter, and successfully executed an embolization procedure. The patient's recovery, confirmed through imaging and improving liver function tests, enabled discharge with follow-up instructions. Conclusions: This case highlights the clinical significance of promptly recognizing and effectively managing iatrogenic PV injuries during PDC insertion, with the pivotal role of IR. Collaboration between IR and surgical teams is crucial for optimizing patient outcomes. [ABSTRACT FROM AUTHOR]