Chylothorax secondary to catheter related thrombosis successfully treated with heparin.
It has been well recognized that intra-thoracic surgery is a major cause of chylothorax in the newborn period; however, catheter-related thrombosis could also be a cause. We report a preterm baby who presented with right chylothorax secondary to venous thrombosis postinadvertent right internal jugular vein catheterization. The complication resolved with drainage, catheter removal and low molecular weight heparin. The literature on neonatal chylothorax and thrombosis and case reports reporting thrombosis-related chylothorax that have been successfully treated with anticoagulation are reviewed.
Department of Paediatrics and Adolescent Medicine, Tuen Mun Hospital, Tuen Mun, N.T. Hong Kong, China. siuly8888@hotmail.com
Sylvia L Y
SL
Siu
Janet Y K
JY
Yang
John P K
JP
Hui
Rever C H
RC
Li
Vinson Y W
VY
Cheng
Tammy W Y
TW
Cheung
Albert N S
AN
Kwong
D000925:Anticoagulants / Q000627:therapeutic use*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002916:Chylothorax / Q000188:drug therapy* / Q000209:etiology; D005260:Female; D006493:Heparin / Q000627:therapeutic use*; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases; D007601:Jugular Veins; D008297:Male; D017063:Outcome Assessment, Health Care; D011247:Pregnancy; D011248:Pregnancy Complications; D020246:Venous Thrombosis / Q000150:complications / Q000209:etiology
D000925:Anticoagulants; D006493:Heparin