Case report: CT findings after dialysis catheter removal-catheter remnant or fibrin sheath?

There is a vast amount of literature on complications related to dialysis catheters, particularly with regards to catheter related sepsis, stenosis, thrombosis and occlusion. There is an equally large number of corresponding radiological descriptions of the above complications. Fibrin sheaths though common1, are an under-recognised complication of dialysis catheters. We report a case of a patient with a fibrin sheath that was detected on computed tomography and interpreted as a catheter remnant which potentially could have led to the inappropriate investigations and management of this patient.