Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 52 9 2014 09 15 721 724 EN Farzaneh Ebrahimifard Department of General Surgery, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Amir Shirvani Department of General Physician, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Shahab Abtahi Department of General Physician, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Ali Setayesh Department of General Surgery, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran. 2015 10 11 A 30-year-old female with end-stage renal disease was a candidate for dual lumen catheter placement. After catheter insertion, O2 saturation measurement of the aspirated blood from the catheter was similar to that of arterial blood. They referred the patient to our hospital after 48 hours. Diagnostic procedures revealed that the tip of the catheter had entered the pleural cavity. Catheter removal in the CPR room resulted in hemorrhagic shock. The patient was resuscitated and stabilized and sent to the operating room. A laceration found at the junction of right jugular and right subclavian veins and was surgically repaired. The patient was discharged after ten days without any complication. https://acta.tums.ac.ir/index.php/acta/article/view/4651 https://acta.tums.ac.ir/index.php/acta/article/download/4651/4637