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Interventional Treatment of Chemical Pleuritis and Hemothorax Caused by Iatrogenic Internal Jugular Vein Perforation after Central Venous Port System Implantation: A Case Report
±èµµ¿ì, ±è¿µÈ¯, °¿õ·¡,
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±èµµ¿ì ( Kim Do-Woo )
Daegu Catholic University College of Medicine Department of Radiology
±è¿µÈ¯ ( Kim Young-Hwan )
Daegu Catholic University College of Medicine Department of Radiology
°¿õ·¡ ( Kang Ung-Rae )
Daegu Catholic University College of Medicine Department of Radiology
Abstract
Ç×¾ÏÄ¡·á¸¦ À§ÇØ Èä° ³» ¼Ó¸ñÁ¤¸ÆÀÇ ÃµÀÚ¸¦ ÅëÇÑ ÇÇÇϸŸô Áß½ÉÁ¤¸Æ ÄɸðÆ÷Æ®(implantable central venous chemoport) µµ°üÀÇ ¼³Ä¡ Áß ¹ß»ýÇÒ ¼ö ÀÖ´Â ÀÇÀμº ¼Ó¸ñÁ¤¸Æ õ°øÀº ¸Å¿î µå¹® ÇÕº´Áõ ÁßÀÇ Çϳª·Î Ç÷ÈäÀ̳ª ÃâÇ÷¼º ¼îÅ©¸¦ ÀÏÀ¸Å³ ¼ö ÀÖÀ¸¸ç, ºÎÀûÀýÇÑ Ç×¾ÏÁ¦ ÁÖÀÔÀ¸·Î ÀÎÇÑ ´Á¸·»ïÃâÀÌ ¹ß»ýÇÒ ¼ö ÀÖ´Ù. µû¶ó¼ Ç×¾ÏÁ¦ ÁÖÀÔ Àü Á¶±â¿¡ Áø´ÜÇÏ¿© ÀÀ±Þ °³Èä¼úÀ» ÅëÇØ Ãµ°øµÈ ¼Ó¸ñÁ¤¸ÆÀ» ºÀÇÕÇÏ´Â °ÍÀÌ Ä¡·á ¿øÄ¢ÀÌ´Ù. ÀúÀÚµéÀº ¿ìÃø ¼Ó¸ñÁ¤¸ÆÀ» ÅëÇÑ ÇÇÇϸŸô Áß½ÉÁ¤¸Æ ÄɸðÆ÷Æ®ÀÇ ¼³Ä¡ ÈÄ ¹ß»ýÇÑ ¼Ó¸ñÁ¤¸Æ õ°ø ȯÀÚ¿¡¼ ºÎÀûÀýÇÑ Ç×¾ÏÁ¦ ÁÖÀÔÀ¸·Î ÀÎÇØ ¹ß»ýÇÑ ´Á¸·»ïÃâ°ú Ç÷ÈäÀ» °³Èä¼úÀ» ½ÃÇàÇÏÁö ¾Ê°í °æÇÇÀû ¹è¾×¼ú ÈÄ ÄÚÀÏ°ú N-butyl cyanoacrylate¸¦ ÀÌ¿ëÇÑ »öÀü¼úÀ» ÅëÇØ ¼º°øÀûÀ¸·Î Ä¡·áÇÑ 1¿¹¸¦ °æÇèÇÏ¿´±â¿¡ À̸¦ º¸°íÇÏ°íÀÚ ÇÑ´Ù.
The perforation of the intrathoracic internal jugular vein during the placement of an implantable central venous chemoport is a rare complication that is manifested by hemothorax or hemorrhagic shock. Furthermore, inappropriate instillation of a chemotherapeutic agent in the chemoport can cause chemical pleuritis, and the diagnosis of these complications prior to the instillation of chemotherapeutic agents and open thoracic surgery is mandatory. We report a patient with chemical pleuritis and hemothorax following an inappropriate instillation of a chemotherapeutic agent, through the perforated right internal jugular vein after placement of an implantable central venous chemoport. Treatment by embolization using coils and N-butyl cyanoacrylate, after percutaneous drainage, was successful.
Å°¿öµå
Central Venous Catheters; Vascular System Injuries; Embolization, Therapeutic
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