Spiwak Elizabeth, Wiesenauer Chad, Panigrahi Arun, Raj Ashok
Department of Pediatrics, University of Louisecille, Louisville, KY 40202, USA.
Department of Pediatric Surgery, University of Louisville, Louisville, KY 40202, USA.
Children (Basel). 2018 Jan 2;5(1):7. doi: 10.3390/children5010007.
Central vein thrombosis as a cause of chylothorax is uncommon, and in a few cases in the literature was related to thrombotic complications of central venous access devices (CVAD). Superior vena cava (SVC) occlusion-induced chylothorax has been described in adult sickle cell disease (SCD) in a setting of chronic indwelling CVAD. There are limited reports on chylothorax induced by central venous thrombosis secondary to chronic CVAD in children with SCD. We describe an 8-year-old male patient, with a history of SCD, maintained on long term erythrocytapheresis for primary prevention of stroke, and whose clinical course was complicated by chylothorax which was successfully treated with a pleuroperitoneal shunt.
中心静脉血栓形成作为乳糜胸的病因并不常见，文献中的少数病例与中心静脉通路装置（CVAD）的血栓形成并发症有关。上腔静脉（SVC）闭塞引起的乳糜胸已在成年镰状细胞病（SCD）伴有慢性留置CVAD的情况下被描述。关于SCD儿童慢性CVAD继发中心静脉血栓形成所致乳糜胸的报道有限。我们描述了一名8岁男性患者，有SCD病史，长期接受红细胞单采术以预防中风，其临床病程因乳糜胸而复杂化，该乳糜胸通过胸膜腹膜分流术成功治疗。
