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Dear Editor, Over 80% of patients globally get initiated on hemodialysis with tunneled cuffed catheter (TCC).1 Right internal jugular vein (IJV) is the preferred site for TCC insertion with catheter tip placement in the mid right atrium.2 Sometimes, the catheter can be misplaced. We report a case where the catheter tip got accidentally placed in the pericardium.
Dear Editor, A 68-year-old diabetic male with 8-year dialysis vintage reported to Emergency room in March 2023, with a 4-day history of pain left upper abdomen radiating to the left shoulder (Kehr’s sign). He appeared anxious with BP of 100/70 mm HG and pulse of 96/min. On examination, there was tenderness and guarding in the left hypochondrium. His hemoglobin was 9.6 g/dl and was leucocyte count was 13,900/cmm.
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