• Eur J Emerg Med · Dec 2004

    Case Reports

    Expect the unexpected: malposition of a large-bore central venous catheter in the urinary bladder.

    • Wolfram Schummer, Claudia Schummer, Andrej Gorse, Udo Becker, Christiane Marx, and Martin Brauer.
    • Clinic for Anaesthesia and Intensive Care Medicine, Friedrich Schiller University of Jena, Jena, Germany. cwsm.schummer@gmx.de
    • Eur J Emerg Med. 2004 Dec 1; 11 (6): 351-4.

    AbstractWe report the case of a femoral vein cannulation in a critically ill trauma patient with the malposition of a large-bore central venous catheter in the urinary bladder. Recognition of the malposition was hampered by bloody tamponade of the bladder in the context of blunt thoraco-abdominal trauma with kidney and liver laceration. A high index of clinical suspicion and the institution of adequate therapy were the key to achieving a successful clinical outcome. We discuss the anatomy of femoral veins, including their close relation to a distended bladder. The application of ultrasound even in emergency situations is stressed.

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