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Hickman Catheter Dislodgement Due to Pendulous Breasts
Author(s) -
Moorman Donald W.,
Horattas Mark C.,
Wright Dennis,
Kaufman Keith,
Ruf Walter
Publication year - 1987
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1177/0148607187011005502
Subject(s) - medicine , complication , surgery , catheter , parenteral nutrition , enteral administration , etiology , seroma
Dislodgement of Hickman, Broviac, and Mediport catheters is a rare but recognized complication. To date, no specific etiology for this has been cited. We present five cases of dislodgement due to positional changes in large‐breasted women and one man with gynecomastia. Apparently, motion in the subcutaneous tissue secondary to gravitational forces on large breasts causes downward and outward traction on the subcutaneous portion of the catheter. Variations in placement technique to help avoid this complication are described. ( Journal of Parenteral and Enteral Nutrition 11:502–504,1987)