Abstract
A 66-year-old woman presented to us with the complaint of dysphagia and a central venous catheter (CVC) was inserted into the right femoral vein for parenteral nutrition. On day 8 after the catheter insertion, the patient complained of right lower abdominal pain. She also developed high fever and an abdominal wall mass, which was suspected as an abscess, and was transferred to our hospital on day 11 after the catheter insertion. Abdominal ultrasonography showed a lesion with heterogeneous internal echoes, suggestive of an abscess, in the rectus abdominis muscle. Computed tomography revealed an abscess in the rectus sheath and the misinserted CVC in the inferior epigastric vein. Operation was performed for abscess drainage, and the CVC was found in the abscess. This rare case involved a CVC inserted into the right femoral vein reaching the inferior epigastric vein. We must pay attention to possible aberrant mispositioning of a CVC after insertion.
