title: Chylothorax: a complication of internal jugular vein catheterization.
abstract: Thoracic duct injury is a potential problem from central venous catheter insertion that has rarely been reported. A case in which a left chylothorax developed 2 days after internal jugular vein catheterization is presented here. This complication was managed successfully by continuous drainage of the pleural space, oral administration of a low-fat, high-carbohydrate and high-protein diet, and application of positive end-expiratory pressure. The etiology, pathogenesis, clinical presentation and recommended management of such iatrogenic chylothorax are discussed on the basis of this clinical report and of a review of the literature.
authors.affiliation: Division of Pulmonary and Critical Care Medicine, Sun Yat-Sen Cancer Center Hospital, Taipei, Taiwan, R.O.C.
authors.forename: L H
authors.initials: LH
authors.lastname: Hsu
authors.forename: T C
authors.initials: TC
authors.lastname: Lien
authors.forename: J H
authors.initials: JH
authors.lastname: Wang
mesh_terms: D000368:Aged; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002916:Chylothorax / Q000209:etiology*; D005260:Female; D006801:Humans; D007601:Jugular Veins