Lymphocutaneous fistula as a long-term complication of multiple central venous catheter placement.
We report a case of a lymphocutaneous fistula in a 19-month-old boy who had been a premature neonate, born in the 23rd week of gestation. The fistula, an apparent complication of central venous line placement during the patient's first 5 months of life, was composed of a distinct lymphatic vessel bundle in the right supraclavicular region, with its exit point at the posterior aspect of the right shoulder. The drainage ceased immediately after resection and repair of a 1-cm obstruction in the superior vena cava.
Scharff
R P
RP
Department of Pediatrics, University of Louisville, Kentucky 40292, USA.
Recto
M R
MR
Austin
E H
EH
Wilkerson
S A
SA
D002405:Catheterization, Central Venous / Q000009:adverse effects*; D017023:Coronary Angiography; D017577:Cutaneous Fistula / Q000209:etiology* / Q000601:surgery*; D017809:Fatal Outcome; D005402:Fistula / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D007223:Infant; D008206:Lymphatic Diseases / Q000209:etiology* / Q000601:surgery*; D008297:Male; D013479:Superior Vena Cava Syndrome / Q000150:complications / Q000000981:diagnostic imaging; D013897:Thoracic Duct / Q000293:injuries; D013997:Time Factors