Siu Sylvia L Y, Yang Janet Y K, Hui John P K, Li Rever C H, Cheng Vinson Y W, Cheung Tammy W Y, Kwong Albert N S
Department of Paediatrics and Adolescent Medicine, Tuen Mun Hospital, Tuen Mun, N.T. Hong Kong, China.
J Paediatr Child Health. 2012 Mar;48(3):E105-7. doi: 10.1111/j.1440-1754.2010.01936.x. Epub 2011 Jan 18.
It has been well recognized that intra-thoracic surgery is a major cause of chylothorax in the newborn period; however, catheter-related thrombosis could also be a cause. We report a preterm baby who presented with right chylothorax secondary to venous thrombosis postinadvertent right internal jugular vein catheterization. The complication resolved with drainage, catheter removal and low molecular weight heparin. The literature on neonatal chylothorax and thrombosis and case reports reporting thrombosis-related chylothorax that have been successfully treated with anticoagulation are reviewed.