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Hemothorax Complicating Hickman Line Placement in a Pediatric Patient: A Case Report of Early Recognition and Management

Year: 2025

Type: article

Abstract: Central venous catheters (CVCs) are essential in managing pediatric patients requiring long-term venous access, particularly for bone marrow transplantation (BMT). Although generally safe, their insertion is not without risks. We report the case of a one-year-old boy with Severe Combined Immunodeficiency Disorder (SCID) who developed a life-threatening right-sided hemothorax during Hickman line placement. The patient presented with acute hemodynamic instability and pulseless electrical activity (PEA) following multiple failed cannulation attempts. Immediate resuscitation measures restored circulation, and imaging revealed a large hemothorax. A chest tube was inserted, draining 138 mL of blood, leading to clinical stabilization. This case highlights the importance of early complication recognition, imaging, and prompt intervention during central venous catheterization.

Source: Cureus

DOI: 10.7759/cureus.79344

Authors: Feras Ayaz, Osamah Arafah, Khalid Aljonaieh, Norah Al Mallohi, Leen Alshibi

Institution: King Faisal Specialist Hospital & Research Centre

Language: English

Topic: Central Venous Catheters and Hemodialysis

Subfield: Emergency Medical Services

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4407793205