A routine vascular procedure, the central venous catheterization requires recognition of malposition to avoid its serious sequelae. This case report discusses the complications encountered following presumed right internal jugular vein cannulation in a trauma patient. Cervical spine imaging done as part of a trauma protocol revealed a catheter in the right vertebral vein. Inadvertently mispositioned catheter emphasizes the significance of ultrasound-guided central vein catheterization even if the cannulation is done using standard anatomical landmarks.
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