case_images: PMC6815971_01
case_images: Chest X-ray showing the PICC line in the subclavian vein. Also shown is the R sided chest drain in situ.
case_images: CRIA2019-6980475.002.jpg
case_images: PMC6815971_01_CRIA2019-6980475.002.jpg
case_images: fig2
case_images: PICC tip placement was confirmed with a chest X-ray and total parenteral nutrition was commenced (Figure 2). Patient developed mild voice changes and shortness of breath 36 hours later.
case_images: (a) Sagittal, (b) coronal, and (c) horizontal: computerised tomography slice demonstrating extensive retropharyngeal emphysema and pneumo-mediastinum.
case_images: CRIA2019-6980475.003.jpg
case_images: PMC6815971_01_CRIA2019-6980475.003.jpg
case_images: fig3
case_images: Tomography scan of neck, chest and abdomen performed on day 12 following initial transplantation demonstrated mediastinal collection, mediastinal emphysema as well as extensive retro-pharyngeal air tracking (Figures 3(a)-3(c)). The CT chest and neck vessel angiography report noted that PICC line was not convincingly intravascular and appeared to be outside the great vessels (Figure 4).
case_images: (a) coronal slice and (b) horizontal slice. Arrows demonstrating computerised tomographic angiography.
case_images: CRIA2019-6980475.004.jpg
case_images: PMC6815971_01_CRIA2019-6980475.004.jpg
case_images: fig4
case_images: Tomography scan of neck, chest and abdomen performed on day 12 following initial transplantation demonstrated mediastinal collection, mediastinal emphysema as well as extensive retro-pharyngeal air tracking (Figures 3(a)-3(c)). The CT chest and neck vessel angiography report noted that PICC line was not convincingly intravascular and appeared to be outside the great vessels (Figure 4).