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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2024; 34(04): 754-756
DOI: 10.1055/s-0042-1744234
Case Report

Migrated Peripherally Inserted Central Catheter in the Right Ventricle and Bilateral Pulmonary Arteries: A Case Report

Reena Anand
1   Department of Radiology, Max Superspeciality Hospital, New Delhi, India
,
Vineeta Dagar
1   Department of Radiology, Max Superspeciality Hospital, New Delhi, India
,
Rajeev Aggarwal
2   Department of Cardiology, Max Superspeciality Hospital, New Delhi, India
,
Sandeep Batra
3   Department of Oncology, Max Superspeciality Hospital, New Delhi, India
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Abstract

Introduction Central venous catheterization is a common tool widely used in medical treatment for long-term intravenous administration of medication (e.g. chemotherapy or antibiotics) or parenteral nutrition. Here, we present a case of a missing peripherally inserted central catheter (PICC) which was detected on computed tomography (CT) scan thorax.

Case Report A 50-year-old female admitted for follow-up for adenocarcinoma rectum was found to have a missing PICC line and advised CT thorax for evaluation. The imaging findings revealed coiled PICC line in the right atrium extending to inferior vena cava and into right ventricle and further extending and coiled PICC is seen in the main, right, and left pulmonary arteries. Through emergency interventional procedure, the PICC line was successfully retrieved percutaneously via the right femoral vein.

Conclusion PICC fracture is less common and always seen without significant discomfort if not found timely, and it may lead to serious complications, such as pulmonary embolism, and even death. Early detection and removal may help to prevent significant mortality.

Keywords

peripherally inserted central catheter - localization - computed tomography - complications - intervention

Authors' Contributions

R.A. and V.D. reviewed the CT thorax and reported the missing PICC into the right ventricle and extending into the pulmonary arteries. R.A. retrieved the PICC line through the right femoral route.




Publication History

Article published online:
21 April 2024

© 2024. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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