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Intraperitoneal Hematoma After Femoral Catheterization: A Case Report and Literature Review

Zunairah Shah1, Israr Khan2,3, Irene Dixe de Oliveira Santo4

  • 1Internal Medicine, Weiss Memorial Hospital, Chicago, USA.

Cureus
|June 23, 2022
PubMed

Insights

Central venous catheters (CVCs) are essential for critically ill patients but can cause complications. This case highlights an uncommon intraperitoneal hematoma resulting from CVC placement.

Area of Science:

  • Medical Devices
  • Patient Safety
  • Intensive Care Medicine

Background:

  • Central venous catheters (CVCs) are vital for managing critically ill patients, with over 5 million inserted annually in the US.
  • Common insertion sites include the internal jugular, subclavian, or femoral veins, with catheter tips positioned in the superior vena cava, right atrium, or inferior vena cava.
  • Despite their utility, CVCs are associated with various immediate and delayed complications.

Observation:

  • A 70-year-old female with multiple comorbidities presented with dyspnea.
  • The patient had a history of chronic obstructive pulmonary disease, COVID-19, pneumonia, type 2 diabetes mellitus, and hypertension.
  • She was diagnosed with an intraperitoneal hematoma.

Findings:

  • The patient's intraperitoneal hematoma was identified as an uncommon complication.
  • This complication stemmed from a central venous catheter placement procedure.
  • The case underscores the potential risks associated with CVC insertion.

Implications:

  • Highlights the importance of recognizing rare CVC complications.
  • Emphasizes the need for vigilance in patient monitoring post-CVC placement.
  • Contributes to the understanding of CVC-related morbidity in intensive care settings.

Keywords:
central linecentral venous cathetersfemoral catheterizationhemorrhageintraperitoneal hematomaretroperitoneal space hemorrhage

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