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J Korean Soc Emerg Med > Volume 25(1); 2014 > Article
Journal of The Korean Society of Emergency Medicine 2014;25(1): 132-136.
An Unusual Complication of Total Parenteral Nutrition via Subclavian Vein Catheterization Masquerading as Bilateral Chylothorax
Jung Hwa Lee, Jin Yong Kim, Sang Cheol Kim, Woo Surng Lee, Yo Han Kim, Jun Sik Yu, Keun Soo Weon
1Department of Pediatrics, Konkuk University Chungju Hospital, Chungju, Korea.
2Department of Emergency Medicine, Konkuk University Chungju Hospital, Chungju, Korea.
3Department of Thoracic and Cardiovascular Surgery, Konkuk University Chungju Hospital, Chungju, Korea. timesgoby@naver.com
4Department of Thoracic and Cardiovascular Surgery, Kangwon National University School of Medicine, Kangwon National University Hospital, Chuncheon, Korea.
5Department of Surgery, Konkuk University Chungju Hospital, Chungju, Korea.
6Department of Neurovascular Surgery, CHA Bundang Medical Center, Seongnam, Korea.
ABSTRACT
Chylothorax, a relatively rare condition of pleural effusion, is defined as an accumulation of chyle resulting from damage to the thoracic duct associated with chyle leakage from the lymphatic system into the pleural cavity. The etiologies of this condition are numerous, and the most important approach for management of chylothorax is to determine the definite cause. We report on a case of an unusual complication of chylothorax that occurred after central catheterization and direct instillation of total parenteral nutrition into the pleural cavity.
Key words: Chylothorax, Catheters, Parenteral nutrition
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