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Cervicomediastinal Hematoma From Inferior Thyroid Artery Injury After Attempted Permanent Dialysis Catheter Placement Without Ultrasound Guidance

Year: 2025

Type: article

Abstract: Permanent dialysis catheter (PDC) placement is a routine hospital procedure, but it may lead to rare and life-threatening complications. We present the case of a 41-year-old woman who developed hemomediastinum caused by injury to a branch of the inferior thyroid artery during internal jugular vein cannulation using anatomical landmarks. The patient developed neck swelling and respiratory symptoms shortly after the procedure. Diagnosis was confirmed via imaging, and successful hemostasis was achieved with transcatheter arterial embolization. This case highlights the importance of careful technique and prompt recognition of rare vascular injuries.

Source: Cureus

DOI: 10.7759/cureus.91889

Authors: Grażyna Waśka, Pawel Radkowski, Hubert Oniszczuk, Piotr Nowakowski, Elwira Misztela-Lisiecka

Institutions: University of Warmia and Mazury in Olsztyn, Medical University of Białystok

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: W4414148308