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[Iatrogenic extrapleural hematoma].

R Ueki1, R Okutani, A Fukushima

  • 1Department of Anesthesiology, Hyogo College of Medicine, Nishinomiya.

Masui. the Japanese Journal of Anesthesiology
|February 26, 2000
PubMed
Summary
This summary is machine-generated.

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A rare complication of central venous catheterization, extrapleural hematoma, occurred in a patient undergoing gastrectomy. Prompt diagnosis via CT scan and conservative management led to successful recovery without further issues.

Area of Science:

  • Cardiovascular Medicine
  • Surgical Complications
  • Radiology

Background:

  • Central venous catheterization is a common procedure.
  • Potential complications include pneumothorax, arterial injury, and infection.
  • Extrapleural hematoma is an uncommon but serious complication.

Observation:

  • A 71-year-old woman developed hypotension post-central venous catheterization during gastrectomy.
  • Initial chest X-ray suggested hemothorax, but drainage yielded minimal fluid.
  • Thoracic CT confirmed an extrapleural hematoma as the cause of symptoms.

Findings:

  • The patient presented with hemodynamic instability after central venous catheterization.
  • Diagnostic imaging revealed an extrapleural hematoma, not hemothorax.

Related Experiment Videos

  • Conservative management resolved the hematoma within 7 days.

    • Implications:

    • Highlights the importance of considering rare complications like extrapleural hematoma after central venous catheterization.
    • Emphasizes the role of advanced imaging (CT) in diagnosing obscure thoracic pathologies.
    • Demonstrates the efficacy of conservative management for extrapleural hematoma in select cases.