title: Bilateral pleural effusion complicating umbilical venous catheterization.
abstract: BACKGROUND
  Umbilical venous lines are sometimes complicated with pleural and or pericardial effusion, often due to line migration.
  
  
  METHODS
  Bilateral chylous pleural effusion without pericardial effusion in a 28 weeks, extremely low birth infant who was on total parenteral nutrition.
  Investigations including chest x ray and 2D echocardiogram showed bilateral chylous pleural effusions but appropriate tip position of the umbilical venous line.
  
  
  RESULTS
  Removal of the umbilical venous line and cessation of total parenteral nutrition resulted in complete resolution of the pleural effusion.
  
  
  CONCLUSIONS
  In any newborn with central venous catheter in situ, acute deteriorations specially, those related to pleural and pericardial effusions should alert the clinicians to remove the catheter and should not be misguided by apparently appearing normal correct catheter position by x-ray or 2D echocardiogram.
authors.affiliation: Department of Pediatrics, Fernandez Hospital, Hyderabad, Andhra Pradesh Correspondence to: Dr Srinivas Murki, Consultant Neonatologist, Fernandez Hospital, Hyderabad 500 001, Andhra Pradesh. srinivasmurki2001@yahoo.com.
authors.forename: Neeraj
authors.initials: N
authors.lastname: Kumar
authors.forename: Srinivas
authors.initials: S
authors.lastname: Murki
mesh_terms: D002405:Catheterization, Central Venous / Q000379:methods*; D006801:Humans; D007231:Infant, Newborn; D010288:Parenteral Nutrition; D010996:Pleural Effusion / Q000503:physiopathology*; D014471:Umbilical Veins / Q000601:surgery*