Display options
Cite
Saxena P, Shankar S, Kumar V, et al. Bilateral chylothorax as a complication of internal jugular vein cannulation. Lung India. 2015;32(4):370-4doi: 10.4103/0970-2113.159579.
Saxena, P., Shankar, S., Kumar, V., & Naithani, N. (2015). Bilateral chylothorax as a complication of internal jugular vein cannulation. Lung India : official organ of Indian Chest Society, 32(4), 370-4. https://doi.org/10.4103/0970-2113.159579
Saxena, Puneet, et al. "Bilateral chylothorax as a complication of internal jugular vein cannulation." Lung India : official organ of Indian Chest Society vol. 32,4 (2015): 370-4. doi: https://doi.org/10.4103/0970-2113.159579
Saxena P, Shankar S, Kumar V, Naithani N. Bilateral chylothorax as a complication of internal jugular vein cannulation. Lung India. 2015 Jul-Aug;32(4):370-4. doi: 10.4103/0970-2113.159579. PMID: 26180388; PMCID: PMC4502203.
Copy Download .nbib Format: NLM
Share it on

Lung India. 2015 Jul-Aug;32(4):370-4. doi: 10.4103/0970-2113.159579.

Bilateral chylothorax as a complication of internal jugular vein cannulation.

Lung India : official organ of Indian Chest Society

Puneet Saxena, Subramanian Shankar, Vivek Kumar, Nardeep Naithani

Affiliations

  1. Department of Internal Medicine, Armed Forces Medical College, Pune, Maharashtra, India.

PMID: 26180388 PMCID: PMC4502203 DOI: 10.4103/0970-2113.159579

Abstract

Central venous catheterization is one of the most prevalent procedures in the Intensive Care Unit. Complications are reported in about 15% of the patients and usually comprise of infection, arterial puncture, malpositioning, pneumothorax, local hematoma, hemothorax, and so on. Chylothorax is a rare complication of this procedure. We present a 42-year-old lady, who developed bilateral massive chylothorax after cannulation of her left internal jugular vein (IJV), due to direct injury to the thoracic duct during the procedure. The patient was successfully managed with bilateral chest tube drainage and omission of oral feeds for four days. Development of bilateral chylothorax as a complication of IJV cannulation is rare, but merits reporting, in view of a large number of central venous cannulations being undertaken. Critical care professionals should be aware of this rare complication of a common procedure to facilitate early identification and institute appropriate therapy.

Keywords: Bilateral; central venous catheters; chylothorax; complication; internal jugular vein cannulation; thoracic duct

References

  1. Ann Acad Med Singapore. 2006 Oct;35(10):742-4 - PubMed
  2. J Thorac Cardiovasc Surg. 1976 Mar;71(3):465-8 - PubMed
  3. J Intensive Care Med. 2006 Jan-Feb;21(1):40-6 - PubMed
  4. N Engl J Med. 2003 Mar 20;348(12):1123-33 - PubMed
  5. Can Anaesth Soc J. 1985 Jul;32(4):412-4 - PubMed
  6. Br J Anaesth. 2002 Oct;89(4):647-50 - PubMed
  7. Am J Med Sci. 2011 Mar;341(3):238-9 - PubMed
  8. Minerva Anestesiol. 1989 Jul-Aug;55(7-8):325-8 - PubMed
  9. Semin Pediatr Surg. 2009 May;18(2):73-83 - PubMed

Publication Types