[Delayed hydrothorax induced by a pericutaneous central venous catheter; report of a case].
We report herein a case of 53-year-old woman who suffered a hydrothorax induced by a central venous catheter which had been placed to facilitate total parenteral nutrition. The central venous catheter was inserted into the superior vena cava through the right subclavian vein. Chest X-ray film after insertion revealed proper position of the tip. She suddenly developed dyspnea and tachycardia due to right-sided hydrothorax 21 days after the insertion of the catheter. Chest X-ray showed massive pleural effusion in the right thorax, and the catheter tip inadvertently turned upward. The continuous mechanical force of the catheter tip against the SVC wall was considered to be the cause of this life-threatening delayed hydrothorax.
Ishibashi
H
H
Department of Surgery, Ohta Nishinouchi Hospital, Kooriyama, Japan.
Ohta
K
K
Ochiai
T
T
Kaisan
T
T
Ishikawa
T
T
Kubota
T
T
Sato
E
E
Iida
M
M
Yamazaki
S
S
D002405:Catheterization, Central Venous / Q000009:adverse effects*; D005260:Female; D006801:Humans; D006876:Hydrothorax / Q000000981:diagnostic imaging / Q000209:etiology*; D008875:Middle Aged; D010289:Parenteral Nutrition, Total; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000209:etiology; D011859:Radiography; D014683:Vena Cava, Superior