Abstract

The operation of the central venous catheterization with the Hickman catheter is generally done via jugular or subclavian veins. During catheterization, the use of ultrasonography reduces catheterization complications. After the cardiac catheterization, cases should be checked through both a Posterior Anterior chest radiography and a physical examination to observe the catheter location and possible complications. Before using the central venous catheter, the agitated serum physiologic is firstly applied through catheter’s lumen and then at the catheter tip micro bubbles are observed on right atrium under echocardiography so that it provides the validation of the catheter tip location.

In this case report, a diagnosis and treatment of a pleural effusion and a massive hemothorax and an intrapleural placement of the catheter is presented during on the Hickman catheter insertion on a child with Acute Lymphoblastic Leukemia.