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During the past decade, subcutaneous port-a-caths have become popular and have replaced the Hickman-type central venous catheters as the primary vascular access device for patients on chronic peritoneal dialysis. The subcutaneous port-a-cath is associated with a lower risk of central vein catheter-related infection when compared to the Hickman-type central venous catheter. However, there are concerns about the potential for port-a-cath-associated thrombosis. We report a case of late diagnosis of a symptomatic port-a-cath-associated deep vein thrombosis in a peritoneal dialysis patient. Because of the increased risk of associated complications, it is important for practitioners to be aware of the possible complications of the port-a-cath and to monitor patients for any signs and symptoms of a port-a-cath-associated thrombosis..
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