Pleural effusion on the contralateral side of a peripherally inserted central catheter

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We report this case of hydrothorax secondary to a misplaced central catheter on the contralateral side of its peripheral insertion” Sancak et al (2017).

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.

Reference:

Sancak, S., Tuten, A., Yildirim, T.G. and Karatekin, G. (2017) Massive pleural effusion on the contralateral side of a venous peripherally inserted central catheter. Journal of Clinical Ultrasound. April 25th. [Epub ahead of print].

doi: 10.1002/jcu.22493.

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