Livesay James, Biney Isaac, Turner J Francis
Department of Medicine, University of Tennessee Graduate School of Medicine, Knoxville, TN, USA.
Case Rep Pulmonol. 2019 Jul 11;2019:4908259. doi: 10.1155/2019/4908259. eCollection 2019.
The development of chylothorax and chylopericardium is an uncommon complication of the long-term use of central venous catheters. We describe a unique case of an end stage renal disease patient on hemodialysis with a left jugular tunneled catheter who developed superior vena cava syndrome. Our patient presented with both a large pleural and pericardial effusion that despite drainage continued to reaccumulate. Further imaging with CT scan of the thorax revealed stenosis of the superior vena cava leading to recurrent chylothorax and chylopericardium.
乳糜胸和乳糜心包的发生是长期使用中心静脉导管的一种罕见并发症。我们描述了一例独特的病例，一名终末期肾病患者在进行血液透析时使用左颈内隧道式导管，发生了上腔静脉综合征。我们的患者出现了大量胸腔和心包积液，尽管进行了引流，但积液仍持续重新积聚。胸部CT扫描进一步成像显示上腔静脉狭窄，导致复发性乳糜胸和乳糜心包。
