Central Venous Catheter Misplacement Presenting With Parotid Gland Swelling: A Case Report
David Mestre, Francisco Gil
TL;DR
A rare case of parotid gland swelling caused by a misplaced central venous catheter is reported, highlighting the need for proper catheter placement confirmation.
Contribution
This case report presents a rare complication of central venous catheter misplacement leading to parotid gland swelling.
Findings
Parotid gland enlargement occurred due to external jugular vein thrombosis from a misplaced CVC.
The case was resolved with anticoagulation and catheter removal.
Proper CVC tip positioning and post-procedure imaging are emphasized.
Abstract
Central venous catheter (CVC) placement is a routine procedure in ICUs but can be associated with various complications, including misplacement and thrombosis. We present a rare case of parotid gland enlargement due to catheter-related thrombosis of the external jugular vein following ultrasound-guided placement through the subclavian vein in an 84-year-old woman. This case was managed with systemic anticoagulation and catheter removal. It emphasizes the importance of confirming correct CVC tip positioning and highlights the need for a post-procedure chest X-ray.
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Taxonomy
TopicsCentral Venous Catheters and Hemodialysis · Venous Thromboembolism Diagnosis and Management · Hemodynamic Monitoring and Therapy