Abstract
A transhepatic central venous catheter was implanted in a 2-year-old child with a history of multiple venous access procedures and superior and inferior vena cava thrombosis. After 2 weeks, inadvertent dislodgement of the catheter was complicated by a biloma. The biloma was percutaneously drained, but a biliary-venous fistula led to a rapidly progressive and fatal bilhemia. We report this case as an infrequent complication of transhepatic catheterization.
MeSH terms
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Anti-Bacterial Agents / administration & dosage
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Bile
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Bile Ducts / diagnostic imaging
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Biliary Fistula / blood*
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Biliary Fistula / complications
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Bilirubin / blood
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Catheterization, Central Venous / adverse effects*
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Catheters, Indwelling / adverse effects
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Child, Preschool
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Drainage
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Epilepsy / complications
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Equipment Failure
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Fatal Outcome
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Female
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Fever / etiology
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Hepatic Veins
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Humans
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Hyperbilirubinemia / etiology
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Jaundice / etiology
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Leukocytosis / etiology
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Liver* / diagnostic imaging
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Phlebography
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Ultrasonography
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Vascular Fistula / blood*
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Vascular Fistula / complications
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Vena Cava, Inferior*
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Venous Thrombosis / complications
Substances
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Anti-Bacterial Agents
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Bilirubin