[Inadvertent thoracic duct puncture during right axially central venous cannulation].
A case of inadvertent thoracic duct puncture during right axially central venous cannulation is reported. The catheterization was performed under the real time ultrasound guidance technique and the coronal view image was continuously displayed. After confirming the feelings of venous puncture, clear yellow fluid was aspired into the connected syringe to the needle. Initially, an accidental thoracic puncture with subsequent pleural fluid aspiration was suspected;however, no finding of pleural effusion was observed with ultrasound imaging and computed tomography. Thus, an accidental thoracic duct puncture and the subsequent lymph fluid aspiration were suspected. Even in a right side approach for central venous catheterization, thoracic duct injury might ensure.
Department of Anesthesia and Resuscitation, University Hospital, Hamamatsu University School of Medicine, Hamamatsu 431-3192.
Shingo
S
Kawashima
Taiga
T
Itagaki
Yushi
Y
Adachi
Yasuhiro
Y
Ishii
Midzuki
M
Taniguchi
Matsuyuki
M
Doi
Shigehito
S
Sato
D000368:Aged; D002405:Catheterization, Central Venous; D005260:Female; D006801:Humans; D011677:Punctures; D013897:Thoracic Duct / Q000293:injuries*; D014950:Wounds, Penetrating / Q000209:etiology*