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Pediatric Nephrology

, Volume 11, Issue 1, pp 20–22 | Cite as

Superior vena cava thrombosis and chylothorax: relationship in pediatric nephrotic syndrome

  • James Hanna
  • Edward Truemper
  • Edward Burton
Original article

Abstract.

We report a 40-month-old black male with nephrotic syndrome who developed chylothorax associated with superior vena cava (SVC) thrombosis. To our knowledge, this is the third reported case of spontaneous SVC thrombosis in a nephrotic patient and the first in which chylothorax was also present. Ultrasonography of the pleura and thoracic vasculature was invaluable in making the diagnosis and monitoring the resolution of this condition during treatment. Contrary to previous reports, thoracic chylous effusions complicating uncontrolled nephrotic syndrome do not originate exclusively as a consequence of abdominal pathology, but rather as this case demonstrates, they can occur from lymphatic obstruction caused by thoracic vein thrombosis.

Key words: Nephrotic syndrome     Chylothorax     Superior vena caval obstruction     Pleural effusion 

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Copyright information

© IPNA - International Pediatric Nephrology Association New York, USA 1997

Authors and Affiliations

  • James Hanna
    • 1
  • Edward Truemper
    • 1
  • Edward Burton
    • 2
  1. 1.Department of Pediatrics, Medical College of Georgia, Augusta, Georgia, USAGE
  2. 2.Department of Radiology, Medical College of Georgia, Augusta, Georgia, USAGE

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