Pericatheter fibrin sheath calcification mimicking retained catheter fragment

Totally implanted central venous access ports (TIAPs) are reportedly safe and well-accepted among cancer patients. In most cases, TIAPs remain complication-free until treatment completion or death, with a complication rate of only 19% during the entire duration of device usage. The present report describes the case of a rare complication of TIAP, peri-catheter fibrin sheath calcification mimicking a retained catheter fragment. The present report would increase the awareness of this condition among medical professionals, which would prevent unnecessary additional examinations or endovascular/surgical interventions. In addition, it is recommended to inquire the cancer patients with low recurrence risk regarding TIAP removal after treatment completion to avoid the long-term complications of TIAPs, including central venous thrombosis, stenosis, occlusion, and peri-catheter fibrin sheath calcifications.