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Right thyrocervical trunk rupture after right internal jugular vein puncture: a case report and systematic review of the literature.


ABSTRACT:

Background

Thyrocervical trunk rupture is an unusual, but critical, complication associated with central venous catheter (CVC) placement. The management of this complication has not been fully determined because it is rare.

Case presentation

A 53-year-old Japanese woman with anorexia nervosa developed refractory ventricular fibrillation. After returning spontaneous circulation, a CVC was successfully placed at the initial attempt in the right internal jugular vein using real-time ultrasound guidance. Immediately after CVC placement, she developed enlarging swelling around the neck. Contrast-enhanced computed tomography showed massive contrast media extravasation around the neck and mediastinum. Brachiocephalic artery angiography showed a "blush" appearance of the ruptured ri

SUBMITTER: Ono Y 

PROVIDER: S-EPMC9477995 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature