José Vilar and Friends Case 1 (Update: Solution!)

Dear colleagues,

Edgar; one of our young residents at Hospital Dr. Peset showed me this case:

62 year old woman.
Portable control after catheter placement.

Where is the catheter?:

1- In the pleura
2- In an artery
3- In a vein
4- In a bronchus

Check the image below, leave your thoughts in the comments section and come back on Friday for the answer.


Click here for the answer

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    07
    Jan 2019
    POSTED BY
    DISCUSSION 21 Comments

    21 Responses to : José Vilar and Friends Case 1 (Update: Solution!)

    1. Lusine says:

      3-in a vein

    2. Ner says:

      In pleura? Along major fissure? As a diagnosis of exclusion, because I can’t really think of any bronchus/artery/vein that runs like that.

    3. Radina Radeva says:

      Intravenous catheter placed in v.jugularis interna sininstra and v. brachiocephalica sin. The tip of the catheter is in the left inferior pulmonary vein – partial anomalous venous return to the left brachiocephalic vein.

    4. Elisa says:

      In a vein (left superior intercostal vein?)

    5. Moumou says:

      In a vein

    6. Fernando says:

      In a partial anomalous pulmonary venous return to the LVBC trunk?
      (En un retorno venoso anomalo parcial hacia TVBC izq?)

    7. Fernando abramzon says:

      In a partial anomalous pulmonary venous return to the LVBC trunk?

    8. Sebastian says:

      It seems for me in the pleura

    9. Enyis Medrano says:

      In a vein

    10. Shazia kadri says:

      4. In a bronchus

    11. João Roque de Almeida says:

      In a vein (probably an anomalous partial venous pulmonary drainage terminating in the left brachiocefalic vein)

    12. ali L A says:

      in vein

    13. João Roque de Almeida says:

      In a vein (anomalous partial venous return terminating in left brachiocefalic vein)

    14. Ivelis says:

      3) In a vein

    15. jose vilar says:

      OK. If this is a vein, do you have any specific suggestions ? ( Left superior intercostal vein is discarded being mediastinal ).

    16. MK says:

      Hello!! rarely but I think it is in the pleural space

    17. Fede says:

      1- seems in the pleura – though I have never seen this type of complication, so considering the pre-test probability of this complication, I think my answer is wrong!

    18. Radina says:

      In a pulmonary vein – partial anomalous venous drainage to the left brachiocephalic vein.

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