Neck Horn Formation After Jugular Vein Catheterization For Haemodialysis: Case Report

IF 0.1 Q4 EMERGENCY MEDICINE Journal of Emergency Medicine Case Reports Pub Date : 2023-11-02 DOI:10.33706/jemcr.1241766
Mohammad ALŞALALDEH
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 Case Report: A haemodialysis catheter was placed in a 43-year-old man's right internal jugular vein after his arteriovenous fistula failed. After having the catheter removed, a neck horn developed at the puncture site. Horn resection and thrombus evacuation were the surgical treatment methods used.
 Conclusion: Neck horn following an internal jugular catheter insertion might be dangerous if left untreated. The horn and thrombus are best removed surgically and treated with antibiotics.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1000,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Emergency Medicine Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.33706/jemcr.1241766","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
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Abstract

Background: Haemodialysis is an essential life-saving procedure for persons suffering from kidney failure. Haemodialysis is usually aceived by central venous catheterization. Neck hornformation is one of the most serious and seldom complications of the procedure. Case Report: A haemodialysis catheter was placed in a 43-year-old man's right internal jugular vein after his arteriovenous fistula failed. After having the catheter removed, a neck horn developed at the puncture site. Horn resection and thrombus evacuation were the surgical treatment methods used. Conclusion: Neck horn following an internal jugular catheter insertion might be dangerous if left untreated. The horn and thrombus are best removed surgically and treated with antibiotics.
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血液透析颈静脉置管后颈角形成1例
背景:血液透析是肾衰竭患者必不可少的救命手段。血液透析通常通过中心静脉导管进行。颈部信息是该手术中最严重且罕见的并发症之一。 病例报告:一个血液透析导管放置在一个43岁的男子右颈内静脉后,他的动静脉瘘失败。取出导管后,在穿刺部位出现颈角。手术治疗方法为角切除和血栓清除。 结论:颈内导管置入后的颈角如果不及时治疗可能是危险的。角和血栓最好通过手术切除并用抗生素治疗。
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