case_images: PMC9386129_01
case_images: Intra-procedural fluoroscopy.
case_images: fped-10-947351-g0001.jpg
case_images: PMC9386129_01_fped-10-947351-g0001.jpg
case_images: F1
case_images: The catheter was secured in place with a subcutaneously anchored securement device (Figure 1).
case_images: Chest x-ray showing dislocated tip of the catheter and bilateral pleural effusion.
case_images: fped-10-947351-g0002.jpg
case_images: PMC9386129_01_fped-10-947351-g0002.jpg
case_images: F2
case_images: A chest x-ray showed dislocated catheter and bilateral pleural effusion (Figure 2); the CT scan proved the tip of the catheter had transfixed the medial wall of the right jugular vein, entering the mediastinum.
case_images: CT scan showing dislocated tip of the catheter, pneumomediastinum and bilateral hydrothorax.
case_images: fped-10-947351-g0003.jpg
case_images: PMC9386129_01_fped-10-947351-g0003.jpg
case_images: F3
case_images: At the same time pneumomediastinum, subcutaneous neck emphysema and bilateral pleural effusion were noticed, and a thrombus was visible in the right jugular vein at the insertion in the brachiocephalic vein (Figure 3).
case_images: Removal of the dislocated central venous catheter.
case_images: fped-10-947351-g0004.jpg
case_images: PMC9386129_01_fped-10-947351-g0004.jpg
case_images: F4
case_images: Once the patient had been stabilized, the dislocated catheter was removed electively on the following day under fluoroscopy (Figure 4).