title: Lymphocutaneous fistula as a long-term complication of multiple central venous catheter placement.
abstract: 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.
authors.affiliation: Department of Pediatrics, University of Louisville, Kentucky 40292, USA.
authors.forename: R P
authors.initials: RP
authors.lastname: Scharff
authors.forename: M R
authors.initials: MR
authors.lastname: Recto
authors.forename: E H
authors.initials: EH
authors.lastname: Austin
authors.forename: S A
authors.initials: SA
authors.lastname: Wilkerson
mesh_terms: 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