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Updated: Mar 3, 2026

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
Massive pleural effusion on the contralateral side of a venous peripherally inserted central catheter
Selim Sancak1, Abdulhamit Tuten2, Tulin Gokmen Yildirim2
1Izzet Baysal Government Hospital, Neonatal Intensive Care Unit, Sağlık mahallesi, Şehitler caddesi, Merkez/Bolu, 14300, Türkiye, Bolu, Turkey.
Abstract:
A preterm newborn infant, delivered at 30 weeks of gestation and 965 g birth weight, developed respiratory distress with resistant hypoxia after a central catheter line was inserted via the right venae brachialis on postnatal day 21. Left-sided massive pleural effusion, collapsed left lung with air bronchograms, and bidirectional shunting through reopened ductus arteriosus were detected by targeted neonatal echocardiography. Hydrothorax was drained under sonographic guidance, producing a milky-white fluid biochemically compatible with parenteral nutrition. We report this case of hydrothorax secondary to a misplaced central catheter on the contralateral side of its peripheral insertion. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 46:140-144, 2018.
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