A Case of Infected Aortic Aneurysm Induced by Infection of a Central Venous Port for Neoadjuvant Chemotherapy

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  • 術前化学療法中に中心静脈ポート感染から感染性大動脈瘤を生じた胃癌の1例
  • 症例 術前化学療法中に中心静脈ポート感染から感染性大動脈瘤を生じた胃癌の1例
  • ショウレイ ジュツゼン カガク リョウホウ チュウ ニ チュウシン ジョウミャク ポート カンセン カラ カンセンセイ ダイ ドウミャクリュウ オ ショウジタ イガン ノ 1レイ

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Abstract

A 72-year-old man was receiving neoadjuvant chemotherapy for advanced gastric cancer with an indwelling right upper arm central venous port (CV port) using a peripherally inserted central catheter (PICC). The patient developed a high fever and complained of right arm swelling and pain after the first cycle of chemotherapy. He was diagnosed as having a port-related infection, and the CV port was removed. Antibiotic and anticoagulation therapies were administered. Enhanced computed tomography demonstrated a thoracic aortic aneurysm with perianeurysm inflammation. After seven weeks of antibiotic therapy, the infection was controlled, and an aortic stent graft was deployed. His postoperative course was uneventful, and a total gastrectomy was performed on the 130th day.<BR>A CV port is an effective tool for chemotherapy, but it should be kept in mind that complications are severe in some cases.

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