Lucky case of pinch-off syndrome combined with colloid adenocarcinoma of the lung.

J Surg Case Rep

Department of Pathology, Haeundae Paik Hospital, Inje University College of Medicine, Haeundae-ro 875, Haeundae-gu, 48108, Busan, Korea.

Published: July 2025


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Article Abstract

We report a case of a colloid adenocarcinoma in the left lower lobe in a 59-year-old female. The fractured chemoport catheter fragment, which was inserted 10 years ago for gastric cancer chemotherapy, was embedded in left superior segmental pulmonary artery. The patient underwent left lower lobectomy with resection margins and all lymph nodes free of tumor through uniportal video assisted thoracic surgery. The patient was lucky because the malignancy and fractured chemoport catheter fragment could be removed concomitantly without additional lung resection due to the location of catheter fragment. A port access via the internal jugular vein should be considered to prevent pinch-off syndrome and the chemoport catheter needs to be removed as soon as possible after the completion of chemotherpy.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257085PMC
http://dx.doi.org/10.1093/jscr/rjaf503DOI Listing

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