Peripherally inserted central venous catheter fracture and embolization to the lung

We report an adolescent patient with a peripherally inserted central venous catheter fracture and subsequent migration of the catheter fragment through the heart and into the lower lobe of the right lung. Physical findings were unremarkable for indications of this pulmonary embolization. With the increasing use of such devices for prolonged venous access, the practicing pediatric emergency physician should be aware of this potential complication.