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[Arterial port-catheter dislocation into the duodenum]
R Pfitzmann1, M Stockmann, T Steinmüller
1Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Universitätsklinikum Charité der Humboldt Universität zu Berlin, Campus Virchow-Klinikum, Germany. robert.pfitzmann@charite.de
Abstract:
Arterial port-catheter dislocations into the duodenum are rare complications. We report on a 64-year-old male with sigmoid-resection for carcinoma, left hemihepatectomy and arterial port-catheter implantation into the common hepatic artery for liver metastases in both lobes and partial dislocation of the port system into the duodenum. Therefore, the port-catheter system had to be explanted after 8 cycles of cytostatic therapy and the duodenum had to be closed by a suture. Six months after surgery the patient felt well, a new singular metastasis in the right liver lobe could be treated successfully by laserinduced thermotherapy. At present the patient has no evidence for another metastasis.