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Mechanical complication with broviac repair kit in a 4-year-old boy with MEN 2a

Sesia, Sergio B. and Haecker, Frank-Martin and Mayr, Johannes. (2009) Mechanical complication with broviac repair kit in a 4-year-old boy with MEN 2a. International journal of pediatrics, Vol. 2009. p. 693583.

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Official URL: http://edoc.unibas.ch/dok/A6006185

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Abstract

Background. Mechanical complications in the use of indwelling central venous catheters (CVCs) such as the Broviac catheter (BC) include kinking, occlusion, dislocation or leaking. We report on a mechanical complication after using a repair kit for the BC. Method. A 4-year old boy, suffering from multiple endocrine neoplasia type 2a (MEN 2a), intestinal aganglionosis (Hirschsprung's disease), and short bowel syndrome, required a BC for home parenteral nutrition. Result. Due to recurrent leakage of the BC, 5 subsequent repairs were necessary within seven months. During one repair a metallic tube belonging to the repair kit was found to have migrated proximally to the skin entrance level within the BC and requiring surgical removal. Conclusion. To our knowledge, this is the first report focusing on such a serious complication using a BC and its repair kit. The proximal migration of this metallic tube constitutes a distinct theoretical risk of endothoracic foreign body embolization.
Faculties and Departments:03 Faculty of Medicine > Bereich Kinder- und Jugendheilkunde (Klinik) > Kinder- und Jugendheilkunde (UKBB) > Kinderchirurgie (Holland-Cunz)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Kinder- und Jugendheilkunde (Klinik) > Kinder- und Jugendheilkunde (UKBB) > Kinderchirurgie (Holland-Cunz)
UniBasel Contributors:Mayr, Johannes and Häcker, Frank-Martin
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Hindawi Publ. Corp.
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:24 May 2013 09:22
Deposited On:24 May 2013 09:05

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