A CASE OF RIGHT AXILLARY VEIN THROMBOPHLEBITIS INDUCED BY CENTRAL VENOUS CATHETER

Abstract

This report describes a rare case of right axillary vein thrombophlebitis induced by central venous catheter (CVC) in a 24-year-old woman undergone a right hemicolectomy for advanced cecum adenocarcinoma. For adjuvant chemotherapy, CVCs were inserted and replaced via the right subclavian vein once a month for four months. Thereafter IVH reservoir was inserted via the same vein and 5 courses of chemotherapy was started in the outpatient clinic. On the 5th course her right upper limb changed edematous with a feeling of compression. Computed tomography (CT), magnetic resonance imaging (MRI), and venography offered a diagnosis of large thrombus and thrombophlebitis in the right axillary vein. The IVH reservoir was immediately removed and thrombolytic therapies were begun. With these treatments her symptoms disappeared within 10 days. There is a risk of causing thrombosis and thrombophlebitis all the while CVCs are inserted and placed. Prompt and proper treatments are necessary for thrombosis and thrombophlebitis induces by CVCs.