Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 6, 2023; 11(4): 883-887
Published online Feb 6, 2023. doi: 10.12998/wjcc.v11.i4.883
Double pigtail catheter reduction for seriously displaced intravenous infusion port catheter: A case report
Yu Liu, Duan-Ming Du
Yu Liu, Duan-Ming Du, Department of Interventional Therapy, Shenzhen Second People’s Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen 518035, Guangdong Province, China
Author contributions: Liu Y carried out the study, participated in data collection, and drafted the manuscript; Du DM performed statistical analysis and participated in study design and participated in the acquisition, analysis, and interpretation of the data, and drafted the manuscript; all authors read and approved the final manuscript.
Supported by Shenzhen Key Medical Discipline Construction Fund, No. SZXK052.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Duan-Ming Du, PhD, Chief Doctor, Department of Interventional Therapy, Shenzhen Second People’s Hospital, The First Affiliated Hospital of Shenzhen University, No. 3002 Sungang Road, Futian District, Shenzhen 518035, Guangdong Province, China. dmdu69@163.com
Received: August 25, 2022
Peer-review started: August 25, 2022
First decision: December 20, 2022
Revised: December 29, 2022
Accepted: January 10, 2023
Article in press: January 10, 2023
Published online: February 6, 2023
Abstract
BACKGROUND

Implanted intravenous infusion port (TIAP) is mainly used for patients who need central venous infusion and poor peripheral vascular conditions. With the advantages of easy to carry, long maintenance cycle, few complications and excellent quality of life, it has been widely used in the fields of malignant tumor chemotherapy, parenteral nutrition support and repeated blood collection. Implanted intravenous infusion port (IVAP) dislocation can have significant complications if not recognised and reinstated immediately.

CASE SUMMARY

A 24-year-old man was treated with adjuvant chemotherapy for osteosarcoma. Severe displacement of IVAP catheter was found by chest X-ray examination. The IVAP cannot be used normally. Therefore, we conducted an emergency procedure to reset the catheter through double pigtail catheters, the operation was successful and the infusion port was restored.

CONCLUSION

When IVAP catheter displacement cannot be reset by conventional techniques, two pigtail catheters can be successfully used instead.

Keywords: Catheter, Displaced catheter, Implantable, Implanted intravenous infusion port, Pigtail catheter, Case report

Core Tip: In the face of serious ectopic infusion port, we successfully solved the problem with double pig tail catheter.