It was reported that patient allegedly developed extravasation, irritant type, following the fourth and the last cycle of chemotherapy, due to extravasation of docetaxel through an alleged leak of the picc line; the picc was very gently withdrawn and immediately fractured at the kinked catheter site.The short fragment separated from the long picc.The picc was immediately buried in the subcutaneous tissues of the right arm.Entire picc demonstrates integrity up to just beneath the access site where the picc is kinked in the subcutaneous tissues.Most likely, there was a pinch off which resulted in weakness of the catheter and a small tear in the picc resulting in extravasation of infused medications causing arm edema and venous thrombosis.Patient was admitted for five days with complications related to this event - right arm dvt and cellulitis/irritative contact dermatitis (right upper extremity) due to extravasation of chemotherapy (docetaxel).
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