Objective: Chronically diseased patients who require long-term therapy through central venous access, a totally implanted central venous port systems are used. Such beneficial devises have life-threatening complications.

Case report: We report a 45-year-old Libyan female diagnosed with poorly differentiated gastric adenocarcinoma, underwent total gastrictomy with eso-jujenal anastomosis with port-a-cath placement to deliver chemotherapy. At the fourth cycle of chemotherapy, unfavourable event occurred; the catheter dislodged and migrated to the right cardiac chambers, which was successful removed by local anaesthesia with loop-snare technique via the right femoral vein.

Methodology: We report a 45-year-old Libyan female diagnosed with poorly differentiated gastric adenocarcinoma, underwent total gastrictomy with eso-jujenal anastomosis with port-a-cath placement to deliver chemotherapy. At the fourth cycle of chemotherapy, unfavourable event occurred; the catheter dislodged and migrated to the right cardiac chambers. The patient refused to reimplant Port-a-cath because of psychological trauma she has experienced, and to complement the chemotherapy cycles peripheral line was the option, which has health, social, and economical consequences.

Results: The port-a-cath was successful removed by local anaesthesia with loop-snare technique via the right femoral vein and the patient preference to complement the chemotherapy cycles through peripheral line after psychological trauma she experianced of the dislodgment and empolization of the port-a-cath.

Conclusion: Port-a-cath is beneficial devise has serious complications. To avoid dislodgment, displacement, and empolization developing of the port-a-cath is needed.