Chemoport Catheter Fracture with an Unusual Site of Lodgement: A Case Report

Chemoport insertion is a widely accepted practice for administering chemotherapy as it provides a reliable long-term venous access. However, it is associated with several complications. These include early complications such as hematoma, air embolism and pneumothorax; and delayed complications such as infections, thrombosis, catheter fracture, migration and pinch-off syndrome. Catheter dislodgement is a rare but serious complication with an incidence of about 0.5%–1%. Here, we report a case where a part of the chemoport catheter got pinched off and migrated distally, which was incidentally noticed during chemoport removal. The fractured part was found at an unusual site, in the right great saphenous vein and was removed surgically. Insertion and handling of chemoports is a specialised procedure that needs expertise and experience. Once catheter fracture and dislodgement are recognised, urgent removal is recommended to prevent complications due to catheter embolisation.