BILATERAL CHYLOTHORAX IN A NEONATE FOLLOWING PICC IN THE RIGHT CUBITAL VEIN

Diptirekha Satapathy, Santosh Kumar Panda, Pravati Jena

Abstract


A preterm female baby was delivered by emergency LSCS
(indication: severe pre-eclampsia) at 29 weeks of gestation to a sixth
gravida mother with history of previous 5 spontaneous 􀃶rst
trimester abortions. The birth weight was 920 grams. The baby was
admitted to the NICU for stabilization. Peripherally inserted central
catheter (PICC) was inserted through the right cubital vein and total
parenteral nutrition was started. There was good back 􀃸ow of blood
from PICC and the position was con􀃶rmed on X-ray and 2D
echocardiography. On day 5, respiratory distress started, that
worsened rapidly along with respiratory acidosis.


Keywords


chylothorax empyema pseudochylothorax biochemical

References


Kumar N, Murki S. Bilateral pleural effusion complicating umbilical venous catheterization. Indian Pediatr. 2013;50(12):1157–8.

Johnson TJ, Jamous FG, Kooistra A, Zawada ET. Iatrogenic chylothorax due to pleural cavity extravasation of total parenteral nutrition in two adults receiving nutrition through a peripherally inserted central catheter. Hosp Pract. 2010 Feb;38(1):50–2.

Soto-Martinez M, Massie J. Chylothorax: Diagnosis and management in children. Paediatr Respir Rev. 2009;10(4):199–207.


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