Case 327

Case 327

Medical history

A 2 year-old male patient with short bowel syndrome is in the late postoperative period (7 weeks) of a extensive enterectomy. After several unsuccessful peripheral venous access insertions attempts and previous venous thrombosis, he went under a central venous access puncture (right femoral vein), guided by ultrasonography (US), in which great difficulty in the guidewire navigation was observed. After 48 hours, the patient was tearful, feverish (38,7°C) and with abdominal distension, without nausea or vomiting. Plain abdominal radiography and abdominal computed tomography were requested.

 

Question:
Considering the clinical history of the patient and the provided images, what is the most likely diagnosis?

Test Question

(SUS – PE 2015. Direct Access)
Comparing the central venous puncture sites used in the clinical practice, it is CORRECT to affirm that

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