{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:06:16Z","timestamp":1756339576229,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,12,31]]},"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:p>Implantable venous access devices are routinely used, but they are not without complications. A 4-year-old male child with B cell acute lymphoblastic leukaemia was planned for chemotherapy. Chemo port was accessed through the right internal jugular vein. Check X-ray was done, which showed the correct placement of the catheter. Two months after chemo port insertion when the patient underwent chemotherapy, he developed a fever and he was started on intravenous antibiotics. On the next two admissions, the patient had a fever with chamber site oedema for which culture was done, which revealed Pseudomonas and Candida, which responded to antibiotic and antifungal therapies. In the successive admission, the patient had immediate local oedema on injecting chemotherapy. Exploration was done, which revealed chamber base perforation. It is an infrequent complication and has been reported in only three studies.<\/jats:p>","DOI":"10.1136\/bcr-2020-239103","type":"journal-article","created":{"date-parts":[[2021,2,1]],"date-time":"2021-02-01T17:07:35Z","timestamp":1612199255000},"page":"e239103","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Rare cause of extravasation from implantable venous access device"],"prefix":"10.1136","volume":"14","author":[{"given":"Ponmani Agasthiya","family":"Manimaran","sequence":"first","affiliation":[{"name":"General Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9230-7357","authenticated-orcid":false,"given":"Prakash","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Paediatric Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madhu","family":"Ramasundaram","sequence":"additional","affiliation":[{"name":"Paediatric Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jegadeesh","family":"Sundaram","sequence":"additional","affiliation":[{"name":"Paediatric Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,2,1]]},"reference":[{"key":"2025082711111762000_14.2.e239103.1","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1007\/s13193-014-0353-0","article-title":"Spontaneous chemoport fracture and cardiac migration","volume":"5","author":"Shah","year":"2014","journal-title":"Indian J Surg Oncol"},{"key":"2025082711111762000_14.2.e239103.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2005.08.019"},{"key":"2025082711111762000_14.2.e239103.3","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1097\/00007611-198805000-00010","article-title":"Comparison of a totally implantable access device for chemotherapy (Port-A-Cath) and long-term percutaneous catheterization (Broviac)","volume":"81","author":"Greene","year":"1988","journal-title":"South Med J"},{"key":"2025082711111762000_14.2.e239103.4","doi-asserted-by":"crossref","first-page":"143","DOI":"10.4103\/2278-330X.173179","article-title":"Complications of chemoport in children with cancer: experience of 54,100 catheter days from a tertiary cancer center of southern India","volume":"4","author":"Aparna","year":"2015","journal-title":"South Asian J Cancer"},{"key":"2025082711111762000_14.2.e239103.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0959-8049(96)00274-2"},{"key":"2025082711111762000_14.2.e239103.6","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1007\/s003830200011","article-title":"Implanted vascular access devices (ports) in children: complications and their prevention","volume":"18","author":"Babu","year":"2002","journal-title":"Pediatr Surg Int"},{"key":"2025082711111762000_14.2.e239103.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2006.05.022"},{"key":"2025082711111762000_14.2.e239103.8","first-page":"176","article-title":"5-Fluorouracil extravasation following Port failure: a case study","volume":"23","author":"Nesti","year":"2000","journal-title":"J Infus Nurs"},{"key":"2025082711111762000_14.2.e239103.9","doi-asserted-by":"crossref","first-page":"527","DOI":"10.2214\/ajr.180.2.1800527","article-title":"Experience at a single institution with endovascular treatment of mechanical complications caused by implanted central venous access devices in pediatric and adult patients","volume":"180","author":"Bessoud","year":"2003","journal-title":"AJR Am J Roentgenol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-239103","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:11:25Z","timestamp":1756318285000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-239103"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2]]},"references-count":9,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,2,1]]},"published-print":{"date-parts":[[2021,2]]}},"alternative-id":["10.1136\/bcr-2020-239103"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-239103","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,2]]}}}