Pathohistology showed ovarian infiltration with kaposiform hemangioendothelioma, with areas of tufted angioma-like elements and occasional fields of venous (cavernous) malformation. The operation sucessfully eliminated elevated testosterone and signs of virilization regressed. Three years after the operation, despite gradual reduction of hemangioma size, KMS persists.
Children have limited venous access possibilities; therefore, when long-term therapy is necessary, it is better to place a catheter in a central vein. The Port catheter, totally implanted, is less exposed to the risk of infection and permits a normal life. However, there is the possibility of the displacement or fragmentation of the catheter that can be diagnosed initially only by clinical symptoms and later by a chest X-ray. We report a case of disconnection between the Port catheter and the reservoir resulting in catheter migration to the left pulmonary artery.
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