Bilateral Pleural Effusion Complicating Umbilical Venous Catheterization.
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Date
2013-12
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Abstract
Background: Umbilical venous lines are sometimes complicated with pleural and or
pericardial effusion, often due to line migration. Case Characteristics: Bilateral chylous
pleural effusion without pericardial effusion in a 28 weeks, extremely low birth infant who was
on total parenteral nutrition. Observations/Investigations: Investigations including chest x
ray and 2D echocardiogram showed bilateral chylous pleural effusions but appropriate tip
position of the umbilical venous line. Outcome: Removal of the umbilical venous line and
cessation of total parenteral nutrition resulted in complete resolution of the pleural effusion.
Message: 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.
Description
Keywords
Complication, Parenteral nutrition, Central line, Pleural effusions, Umbilical vein
Citation
Kumar Neeraj, Murki Srinivas. Bilateral Pleural Effusion Complicating Umbilical Venous Catheterization. Indian Pediatrics. 2013 December; 50(12): 1157-1158.