Subclavian vein injury and massive hemothorax requiring thoracotomy following insertion of tunneled dialysis catheter. A case report and review of literature

Tunneled dialysis catheters are widely used for hemodialysis. Large caliber dilator is used for insertion of such catheter which can result in serious vascular injury leading to haemothorax. Here we report such an inadvertent central venous injury requiring thoracotomy following blind dilator advancement along with review of literature and recommendation to prevent such complication