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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

Zentralblatt Fur Chirurgie

|March 15, 2002

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A rare complication of arterial port-catheter systems, dislocation into the duodenum, required surgical removal and repair. The patient recovered well and received successful treatment for a recurrent liver metastasis.

Area of Science:

Gastroenterology
Oncology
Surgical Complications

Background:

Arterial port-catheter systems are used for chemotherapy delivery in liver metastases.
Complications, though rare, can significantly impact patient management.

Observation:

A 64-year-old male developed partial dislocation of an arterial port-catheter into the duodenum following sigmoid resection and hemihepatectomy for liver metastases.
The port system was implanted into the common hepatic artery.

Findings:

The port-catheter system was explanted, and the duodenum was surgically repaired after 8 cycles of chemotherapy.
The patient experienced a good recovery and remained disease-free for six months post-explantation.

Implications:

Related Experiment Videos

This case highlights the importance of vigilance for rare port-catheter complications.
Successful management involved multidisciplinary care, including surgical intervention and further oncological treatment.
Laser-induced thermotherapy proved effective for treating a subsequent, isolated liver metastasis.