Özet:

Port catheters are widely utilized for long-term intermittent vascular access, especially in oncology patients. Recently imaging guided port catheter insertion has gained interest, and seems to be most preferable method. A 59 year-old male patient with the complaint of swelling in the neck was referred to our clinic. The patient had a history of port catheter placement by landmark method 5 months ago. Superficial ultrasonography revealed tubular structures within right internal jugular vein, antero-posterior and cervical X-rays demonstrated full-length venous catheter that circled many times in the venous lumen and ascended up to orbital level. Port catheter could not be freed within our interventional radiology unit therefore, the patient underwent surgery in order to remove port catheter. This patient is an interesting example of an unexpected complication, demonstrating malposition of 60 cm full-length port catheter. Ultrasonography and fluoroscopy guided port catheter placement would decrease these complications.

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