Journal Information
Vol. 47. Issue 9.
Pages 560-561 (September 2023)
Vol. 47. Issue 9.
Pages 560-561 (September 2023)
Images in Intensive Medicine
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Catheter-related venous thrombosis: Simultaneous occlusion of cephalic and external jugular veins due to abnormal venous drainage
Trombosis venosa asociada a catéter. Oclusión simultánea de cefálica y yugular externa por drenaje venoso anómalo
Juan Francisco Muñoz Morenoa,
Corresponding author

Corresponding author.
, Adela Fernández Galileab, Raúl Vicho Pereirac
a Servicio de Medicina Intensiva, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
b Servicio de Medicina Intensiva, Hospital Virgen Macarena, Sevilla, Spain
c Servicio de Medicina Intensiva, Clínica Rotger Quirónsalud-Hospital Mallorca, Palma de Mallorca, Spain
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This is the case of a patient admitted to the intensive care unit with signs of right sided pneumonia. A peripherally inserted central catheter (PICC) is cannulated for intravenous treatment. The thoracic x-ray performed reveals that the catheter does not land in the right atrium following a trajectory at clavicle level (Fig. 1). Six days after admission the PICC is removed revealing the presence of neck cellulitis at left jugular vein. The vascular ultrasound performed confirms the presence of venous thrombosis from the cannulation area of the PICC in the mid left cephalic vein (LCV) progressing through the cephalic vein (CV) until it reaches the external jugular vein (EJV) through a segment of supraclavicular anomalous venous communication (AVC) (Figs. 2 and 3).

Figure 1
Figure 2
Figure 3
Authors’ contributions

All three authors were similarly involved in the diagnosis and management of the patient, and the design and drafting of this manuscript.


None whatsoever.

Copyright © 2023. Elsevier España, S.L.U. and SEMICYUC
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