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Complication of a femoral venous catheter simulating postoperative duodenal leak

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Academic year: 2021

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中央股靜脈導管引起之併發症疑似十二指腸術後之滲漏

Complication of a femoral venous catheter

simulating postoperative duodenal leak

陳啟仁

Wong YC;Wang LJ;Chen CJ;Lim KE;Lin BC

摘要 我們報告一個十二指腸裂傷術後病人之電腦斷層造影。在其右後腹腔內有大量游 離於腸外的液體和氣泡，疑似十二指腸術後之滲漏，經仔細判讀後發現此表徵乃 因不慎誤植的中央股靜脈導管所造成。此病例亦強調放射科醫師在確認每一種植 入導管或引流管之正確位置上扮演了重要的角色，可以避免病人接受不必要的再 次手術。 Abstract

We present a postoperative CT study of a case of blunt duodenal rupture. The findings of retroperitoneal extraluminal free air and free fluid that are caused by an inadvertent insertion of a femoral venous catheter simulate postoperative duodenal leak. The early recognition of this misplaced indwelling catheter by radiologists avoided an unneccessary reexploration.

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