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CASE REPORT
Year : 2018  |  Volume : 26  |  Issue : 4  |  Page : 215-217

Timely identified early migration of peripherally inserted central catheter by focused ultrasound


1 Department of Emergency Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
2 Department of Emergency, Wan Fang Hospital; Graduate Institute of Clinical Medicine, College of Medicine; Department of Emergency, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan

Correspondence Address:
Dr. Yuan-Pin Hsu
No. 111, Section 3, Xinglong Road, Wenshan Dist., Taipei 116
Taiwan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JMU.JMU_62_18

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A peripherally inserted central venous catheter (PICC) has been widely applied to central venous assess. There were some known complications such as phlebitis, leakage, blockage, dislodgment, breakage, or malposition of PICC. Catheter migration was assessed by using chest radiograph or administering contrast medium. Herein, we report a 77-year-old woman presenting to emergency department with odynophagia and left neck swelling of 3 days duration. The initial impression was deep neck infection. Focused ultrasound identified a hyperechoic tube with thrombosis in left jugular vein, which indicated migration of PICC. Clinical symptoms immediately resolved after removal of PICC and anticoagulation therapy.


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