Open AccessLymphorrhea: An unusual complication of jugular venous catheterization for hemodialysis
Author(s) -
D Bajpai,
Tukaram Jamale,
Hase Nk,
SB Thakare,
Ramesh Deshpande,
Patil Sj
Publication year - 2018
Publication title -
indian journal of nephrology/indian journal of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.317
H-Index - 24
eISSN - 1998-3662
pISSN - 0971-4065
DOI - 10.4103/ijn.ijn_389_17
Subject(s) - medicine , surgery , jugular vein , arteriovenous fistula , hemodialysis , complication , catheter , internal jugular vein , hemodialysis catheter , fistula , serous fluid
A considerable number of end-stage renal disease patients undergo tunneled cuffed catheter insertion for hemodialysis under ultrasonographic guidance while awaiting arteriovenous fistula creation. We report a case of a 62-year-old female who underwent tunneled catheter insertion in the left internal jugular vein under ultrasound and fluoroscopic guidance, which was followed by pericatheter serous discharge. Fluid examination confirmed the diagnosis of lymphorrhea, and lymphoscintigraphy facilitated its localization. This case is reported for its rarity and with a discussion on literature review, complications of lymphorrhea, and their management.