Case report: Successful multimodal assessment and management of chemothorax

Dislocation or wrong placement of central venous catheters into the pleural cavity is rare, but if undiagnosed, may cause major, sometimes life-threatening, complications (pneumothorax, hemothorax, infection, and migration) and accidental pleural effusion due to intravenous injection of fluids conta...

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Bibliographic Details
Published inFrontiers in surgery Vol. 9
Main Authors Panza, Teodora, Quercia, Rosatea, Signore, Francesca, De Iaco, Giulia, Brascia, Debora, Sampietro, Doroty, Gasbarro, Anna Rita, Dell’Aera, Maria, Lorusso, Vito, Marulli, Giuseppe, De Palma, Angela
Format Journal Article
LanguageEnglish
Published Frontiers Media S.A 26.07.2022
Subjects
chemotherapy
chemothorax
dislocation
pleural effusion
Port-A-Cath
Surgery
thoracoscopy
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Summary:Dislocation or wrong placement of central venous catheters into the pleural cavity is rare, but if undiagnosed, may cause major, sometimes life-threatening, complications (pneumothorax, hemothorax, infection, and migration) and accidental pleural effusion due to intravenous injection of fluids containing drugs (i.e. chemotherapy, antibiotics, parenteral nutrition, other). We report a rare case of pleural effusion consisting of chemotherapy (chemothorax) directly injected into the pleural cavity due to the wrong placement of a central venous catheter (Porth-A-Cath) in a woman with breast cancer. A multidisciplinary management consisting of antidote administration, followed by removal of the venous device and washing of the pleural cavity through video-assisted thoracic surgery (VATS), avoided any major complication related to the adverse event.
Bibliography:Reviewed by: Stefano Viscardi, San Raffaele Hospital (IRCCS), Italy Alessandro Palleschi, IRCCS Ca 'Granda Foundation Maggiore Policlinico Hospital, Italy
These authors have contributed equally to this work and share senior authorship
Specialty Section This article was submitted to Thoracic Surgery, a section of the journal Frontiers in Surgery
Edited by: Paola Ciriaco, San Raffaele Scientific Institute (IRCCS), Italy
ISSN:2296-875X
2296-875X
DOI:10.3389/fsurg.2022.921968