A case report of abdominal compartment syndrome caused by malposition of a femoral venous catheter

INTRODUCTION: Venous catheter malposition is a rare event with potential catastrophic consequences. To our knowledge we describe one of the first case reports of an adult presenting with a rare late complication of femoral venous catheter malposition: abdominal compartment syndrome. PRESENTATION OF...

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Autores principales: Pafitanis, Georgios, Spyridon, Koulas, Theodorakopoulou, Evgenia, Mason, Katrina, Ygropoulou, Olga, Mousafiri, Ourania
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4485690/
https://www.ncbi.nlm.nih.gov/pubmed/26036458
http://dx.doi.org/10.1016/j.ijscr.2015.05.002
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author Pafitanis, Georgios
Spyridon, Koulas
Theodorakopoulou, Evgenia
Mason, Katrina
Ygropoulou, Olga
Mousafiri, Ourania
author_facet Pafitanis, Georgios
Spyridon, Koulas
Theodorakopoulou, Evgenia
Mason, Katrina
Ygropoulou, Olga
Mousafiri, Ourania
author_sort Pafitanis, Georgios
collection PubMed
description INTRODUCTION: Venous catheter malposition is a rare event with potential catastrophic consequences. To our knowledge we describe one of the first case reports of an adult presenting with a rare late complication of femoral venous catheter malposition: abdominal compartment syndrome. PRESENTATION OF CASE: A 39 year-old female sustained severe cerebral injury in a road traffic accident. During initial resuscitation a femoral venous catheter was inserted without ultrasound guidance with no immediate concerns. After 48 h whilst in intensive care unit the patient developed progressive abdominal distension. Bedside investigations revealed raised intra-abdominal pressures associated with new organ failure. Subsequent an emergency laparotomy and on-table intravenous contrast radiographs revealed extravasation of contrast into the peritoneal space from the malposition of the catheter into the abdominal cavity. DISCUSSION: Complications of central venous catheterization are associated with adverse events with significant morbidity to the patient as well as having cost implications. Mechanical complications are underreported but are potentially preventable through ultrasound-guided insertion, in accordance with international guidelines. CONCLUSION: This case report highlights the importance of safe methods of catheter insertion, the need for increased awareness of late femoral catheter malposition and its potential catastrophic consequences.
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spelling pubmed-44856902015-07-06 A case report of abdominal compartment syndrome caused by malposition of a femoral venous catheter Pafitanis, Georgios Spyridon, Koulas Theodorakopoulou, Evgenia Mason, Katrina Ygropoulou, Olga Mousafiri, Ourania Int J Surg Case Rep Case Report INTRODUCTION: Venous catheter malposition is a rare event with potential catastrophic consequences. To our knowledge we describe one of the first case reports of an adult presenting with a rare late complication of femoral venous catheter malposition: abdominal compartment syndrome. PRESENTATION OF CASE: A 39 year-old female sustained severe cerebral injury in a road traffic accident. During initial resuscitation a femoral venous catheter was inserted without ultrasound guidance with no immediate concerns. After 48 h whilst in intensive care unit the patient developed progressive abdominal distension. Bedside investigations revealed raised intra-abdominal pressures associated with new organ failure. Subsequent an emergency laparotomy and on-table intravenous contrast radiographs revealed extravasation of contrast into the peritoneal space from the malposition of the catheter into the abdominal cavity. DISCUSSION: Complications of central venous catheterization are associated with adverse events with significant morbidity to the patient as well as having cost implications. Mechanical complications are underreported but are potentially preventable through ultrasound-guided insertion, in accordance with international guidelines. CONCLUSION: This case report highlights the importance of safe methods of catheter insertion, the need for increased awareness of late femoral catheter malposition and its potential catastrophic consequences. Elsevier 2015-05-07 /pmc/articles/PMC4485690/ /pubmed/26036458 http://dx.doi.org/10.1016/j.ijscr.2015.05.002 Text en © 2015 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Pafitanis, Georgios
Spyridon, Koulas
Theodorakopoulou, Evgenia
Mason, Katrina
Ygropoulou, Olga
Mousafiri, Ourania
A case report of abdominal compartment syndrome caused by malposition of a femoral venous catheter
title A case report of abdominal compartment syndrome caused by malposition of a femoral venous catheter
title_full A case report of abdominal compartment syndrome caused by malposition of a femoral venous catheter
title_fullStr A case report of abdominal compartment syndrome caused by malposition of a femoral venous catheter
title_full_unstemmed A case report of abdominal compartment syndrome caused by malposition of a femoral venous catheter
title_short A case report of abdominal compartment syndrome caused by malposition of a femoral venous catheter
title_sort case report of abdominal compartment syndrome caused by malposition of a femoral venous catheter
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4485690/
https://www.ncbi.nlm.nih.gov/pubmed/26036458
http://dx.doi.org/10.1016/j.ijscr.2015.05.002
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