Malposition of a Central Venous Catheter Causing Intracranial Septic Thrombophlebitis

病例報告：中央靜脈管異位至頸靜脈孔所引發的顱內血栓靜脈炎

蔡依珊(Yi-Shan Tsai) ； 黃榮貴(Jon-Kway Huang) ； 鄭碩仁(Sho-Jen Cheng) ； 范揚凱(Yang-Kai Fan)

《中華放射線醫學雜誌》 31卷2期 (2006/04) Pp. 109-113

摘要

我們報告一合併有短腸症及腸旋轉失常的幼兒病例，因中央靜脈營養管異位至頸靜脈孔所引發的顱內血栓靜脈炎。顱內感染在留置有中央靜脈管的病人並不常發生，影像追蹤留置管的位置，並小心警覺中央靜脈管為可能感染源，在這類需長期留置中央靜脈管的病人，是需要特別留心以免發生嚴重的後遺症。

關鍵字

中央靜脈管 ； 血栓靜脈炎 ； 顱內

並列摘要

A one-year-old baby with short bowel syndrome and malrotation had received parenteral nutrition via a central venous catheter for eight months. She had had repeated episodes of sepsis. A gallium scan showed abnormal tracer uptake in the right temporal and occipital areas adjacent to the venous catheter. Temporal bone CT revealed the curved tip of the catheter inside the right jugular foramen and an extra-axial elongated calcified lesion. Reactive thickening of the right transverse sinus wall indicated septic thrombophlebitis.

並列關鍵字

Central Venous catheter ； Intracranial ； Thrombophlebitis