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Chylothorax: a complication of internal jugular vein catheterization
1Division of Pulmonary and Critical Care Medicine, Sun Yat-Sen Cancer Center Hospital, Taipei, Taiwan, R.O.C.
Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
|July 1, 1997
Summary
Thoracic duct injury during central venous catheterization is rare. This case report details successful management of a left chylothorax following internal jugular vein catheterization using drainage, diet modification, and positive end-expiratory pressure.
Area of Science:
- Medical Science
- Surgical Complications
- Thoracic Surgery
Background:
- Central venous catheterization is a common procedure.
- Thoracic duct injury is a rare but serious complication.
- Internal jugular vein catheterization carries a risk of thoracic duct injury.
Observation:
- A patient developed left chylothorax two days post-internal jugular vein catheterization.
- The chylothorax was successfully managed without surgical intervention.
- Management involved pleural space drainage, dietary modifications, and positive end-expiratory pressure.
Findings:
- Iatrogenic chylothorax can occur after internal jugular vein catheterization.
- Conservative management, including drainage and nutritional support, can be effective.
- Positive end-expiratory pressure may aid in managing chylothorax.
Implications:
- Highlights the importance of recognizing and managing rare complications of central venous catheterization.
- Suggests a multimodal conservative approach for iatrogenic chylothorax.
- Contributes to the literature on thoracic duct injuries and their management.