Malposition of a haemodialysis catheter in a hepatic vein

An immediate need for haemodialysis therapy often requires placement of a central vein catheter, which is sometimes complicated by catheter malposition. This report presents the case of a 16-year-old male with end-stage renal disease and a non-functioning central haemodialysis catheter. A chest X-ray identified a very uncommon position of the catheter's tip in a hepatic vein. Management consisted of catheter replacement, resulting in an excellent outcome without sequelae.