Early diagnosis of a nearly missed complication made by anatomical landmark guided internal jugular vein canulation

Internal jugular vein (IJV) canulation for central venous pressure monitoring or venous access is a routine procedure in the operation theatre. Among the all-anatomical site, right IJV is the most preferred and technically favorable site because of its straight course.1 However complications are not unusual even with expert hands. Various vascular injuries are possible with blind technique. We are reporting an unusual complication of anatomical landmark guided catheter placement. We did not find similar complication in literature review.