Premium
Massive pleural effusion on the contralateral side of a venous peripherally inserted central catheter
Author(s) -
Sancak Selim,
Tuten Abdulhamit,
Yildirim Tulin Gokmen,
Karatekin Guner
Publication year - 2018
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.22493
Subject(s) - medicine , hydrothorax , respiratory distress , surgery , pleural effusion , catheter , empyema , ductus arteriosus , central venous catheter , peripherally inserted central catheter , shunting , ascites
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. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 46 :140–144, 2018