# Central Venous Catheter Misplacement Presenting With Parotid Gland Swelling: A Case Report

## 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.

## Key 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.