NONTHROMBOTIC PULMONARY EMBOLISM BY FOREIGN BODY

Non-cruoric pulmonary embolisms are exceptional, their incidence is estimated at 5% of all pulmonary embolisms, they can be septic, gaseous, fatty, metastatic, amniotic, or foreign body. We report the case of a 55-year-old patient who had been mastectomized, and who received adjuvant chemotherapy through The implantable catheter chamber implanted at the left subclavian venous. the patient presented in a table of left heart failure, and for whom the investigations concluded of a migration of an implantation chamber catheter responsible for non-cruoric pulmonary embolism and endovascular ablation was successfully performed. Rupture of catheters with pulmonary embolization by distal fragments is a rare complication of implantable catheter chamber. Its incidence with or without embolism varies between 0.9 and 1.7%. Several factors contribute to the occurrence of a rupture of the catheter namely the use of inappropriate material, the traumatic section during the insertion or the extraction of the catheter, the untimely maneuvers and the forced rinsing of the rooms by small syringes (especially if the catheter is weakened and in the pre-rupture stage), the torsion of the catheter close to its anastomosis with the housing (which is causing more proximal rupture), as well as the erroneous positioning, the prolonged use and wear of the catheter. The malposition, the thrombosis, the fibrin sleeves are the main complications that can mimic this clinical picture. In this case, radiological investigations, chest x-ray and ultrasound, provide valuable information to confirm or refute a particular diagnosis. Pulmonary embolization by the distal end of a disrupted catheter is a rare complcation that can have lethal consequences. Given the suspicion of a pulmonary embolism, the non-cruelty even exceptional cause is likely, the diagnosis must be evoked for proper management.