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CASE REPORT
Year : 2019  |  Volume : 4  |  Issue : 1  |  Page : 18-21

Unexpected bleed during chemoport removal: How to manage?


Department of Surgical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Pavan Kumar Jonnada
Department of Surgical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/njct.njct_8_19

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Chemo port is a boon for majority of cancer patients for the comfort it provides for the delivery of chemotherapy. After completion of chemotherapy, it is advisable to remove the chemo port. Removal of chemo port is less morbid procedure and complications occur very rarely. Here by we share our experience of bleeding encounter during chemo port removal and further management. A 36-year-old woman diagnosed with breast cancer underwent breast conservation in 2012. She completed post-operative chemoradiotherapy. 6 years later she presented for follow-up and with no evidence of recurrence, she was advised for chemo port removal. During removal of chemo port, bleeding was encountered from non-visualised source. She was immediately transferred to cardiovascular surgery department. A venogram was performed revealing chemo port in one of the tributaries of subclavian vein and tear in the anterior wall of subclavian vein. Tear was repaired with clips and removal of the chemo port was done ligating the tributary. Chemo port removal is a less morbid procedure and complications are very rare. However, when encountered with complications, one must be learned enough to sought with them. Interdepartmental communication and instant matured decisions will guide in preventing catastrophic events and are lifesaving.


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