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Bilateral pleural effusion complicating umbilical venous catheterization

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Abstract

Abstract

Umbilical venous lines are sometimes complicated with pleural and or pericardial effusion, often due to line migration.

Case Characteristics

Bilateral chylous pleural effusion without pericardial effusion in a 28 weeks, extremely low birth infant who was on total parenteral nutrition.

Observations/Investigations

Investigations including chest x ray and 2D echocardiogram showed bilateral chylous pleural effusions but appropriate tip position of the umbilical venous line.

Outcome

Removal of the umbilical venous line and cessation of total parenteral nutrition resulted in complete resolution of the pleural effusion.

Message

In any newborn with central venous catheter in situ, acute deteriorations specially, those related to pleural and pericardial effusions should alert the clinicians to remove the catheter and should not be misguided by apparently appearing normal correct catheter position by x-ray or 2D echocardiogram.

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Author information

Authors and Affiliations

  1. Department of Pediatrics, Fernandez Hospital, Hyderabad, Andhra Pradesh, India

    Neeraj Kumar & Srinivas Murki

  2. Fernandez Hospital, Hyderabad, 500 001, Andhra Pradesh, India

    Srinivas Murki

Authors
  1. Neeraj Kumar
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  2. Srinivas Murki
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Corresponding author

Correspondence to Srinivas Murki.

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Kumar, N., Murki, S. Bilateral pleural effusion complicating umbilical venous catheterization. Indian Pediatr 50, 1157–1158 (2013). https://doi.org/10.1007/s13312-013-0286-7

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  • DOI: https://doi.org/10.1007/s13312-013-0286-7

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