Chylothorax: a complication of internal jugular vein catheterization.
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.
Hsu
L H
LH
Division of Pulmonary and Critical Care Medicine, Sun Yat-Sen Cancer Center Hospital, Taipei, Taiwan, R.O.C.
Lien
T C
TC
Wang
J H
JH
D000368:Aged; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002916:Chylothorax / Q000209:etiology*; D005260:Female; D006801:Humans; D007601:Jugular Veins