Journal of Japanese Association for Home Care Medicine
Online ISSN : 2435-4007
Case Report
Management of infection in an end- stage gastric cancer patient : Successful totally implantable central venous catheter port removal during home-visit medical care
Futoshi Ishiguro Tomoji HattoriSyusuke MoriChigusa KondoYutaka Kato
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2024 Volume 5 Issue 2 Pages 42-46

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Abstract

When infection arises as a complication linked to the placement of a totally implantable central venous catheter port (CV port), its prompt management, including potential removal, is crucial. However, a patient’s background may complicate CV port removal. Our patient was a 73-year-old man who received outpatient chemotherapy for gastric cancer but could not travel to the hospital due to decreased activities of daily living. Home visits were initiated to provide palliative care. On the twentieth day of home visits, a fever and signs of a pocket infection were noted. Although hospital - based CV port removal was recommended, the patient declined, citing the pain and distress of travel. Consequently, the CV port was removed under local anesthesia at the patient’s home. The wound healed without infection, and the patient passed away 41 days after the removal procedure. When CV port removal is required in cases in which hospital transport is challenging, performing the procedure during a home visit represents an effective treatment option.

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© 2024 Japanese association for home care medicine
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