A Case of Pleural Effusion after Malposition of Central Venous Catheter

중심정맥카테터 삽입의 이상위치로 발생한 편측성 흉수 1례

  • Kim, Jae Seok (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Kim, Sang-Ha (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Lee, Nak Won (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Kwon, Woo Cheol (Department of Radiology, Yonsei University Wonju College of Medicine) ;
  • Choi, Hun (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Beon, Jong Won (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Hong, Tae Won (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Shin, Kye Chul (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Yong, Suk Joong (Department of Internal Medicine, Yonsei University Wonju College of Medicine)
  • 김재석 (연세대학교 원주의과대학 내과학교실) ;
  • 김상하 (연세대학교 원주의과대학 내과학교실) ;
  • 이낙원 (연세대학교 원주의과대학 내과학교실) ;
  • 권우철 (연세대학교 원주의과대학 진단방사선과학교실) ;
  • 최훈 (연세대학교 원주의과대학 내과학교실) ;
  • 변종원 (연세대학교 원주의과대학 내과학교실) ;
  • 홍태원 (연세대학교 원주의과대학 내과학교실) ;
  • 신계철 (연세대학교 원주의과대학 내과학교실) ;
  • 용석중 (연세대학교 원주의과대학 내과학교실)
  • Received : 2005.09.07
  • Accepted : 2006.06.01
  • Published : 2006.06.30

Abstract

Central venous catheterization is used to provide a large amount of fluid, total parenteral nutrition and to administer antitumor agents with few complications reported. We report an uncommon case of pleural effusion that occurred after central venous catheterization. In many cases, the mechanism for the pleural effusion after central venous catheterization occurs through an injury to the superior vena cava by the continuous mechanical force of the catheter tip, the flow of large amount of fluid and an osmotic injury to the wall of the vein. This case is somewhat different in that the central catheter was placed in an aberrant vessel resulting in the pleural effusion. A post-placement chest roentgenogram and the correct approach of catheterization are important for preventing this complication.

중심정맥카테터 삽입 후 생길 수 있는 드문 합병증 중에 하나인 흉수 발생은 카테터와 관련된 혈관벽의 손상을 흉수 발생의 기전으로 설명하고 있다. 저자들은 우측 쇄골하정맥으로 이어지는 이상혈관 내로 카테터가 위치한 후 혈관 파열로 인하여 발생한 흉수 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

  1. Olivares Lopez A, Borras Rubio E, Sanchez Ortega JL, Fernandez Contreras R, Riquelme MR, Lopez Rodriguez F. Iatrogenic hydrothorax after catheterization of the left internal jugular vein. Rev Esp Anestesiol Reanim 1991;38:189-91
  2. Colon R, Frazier OH.Right hydrothorax after left subclavian and internal jugular vein catheterization: a delayed complication. Tex Heart Inst J 1985;12:389-92
  3. Paw HG. Bilateral pleural effusions: unexpected complication after left internal jugular venous catheterization for total parenteral nutrition. Br J Anaesth 2002;89:647-50 https://doi.org/10.1093/bja/aef224
  4. Campagnutta E, Segatto A, Maesano A, Sopracordevole F, Visentin MC, Scarabelli C. Bilateral hydrothorax with hydromediastinum after cannulation of the left internal jugular vein. Minerva Ginecol 1989;41:479-83
  5. Tayama K, Inoue T, Yokoyama H, Yano T, Ichinose Y. Late development of hydrothorax induced by a central venous catheter: report of a case. Surg Today 1996;26:837-8 https://doi.org/10.1007/BF00311650
  6. Ishibashi H, Ohta K, Ochiai T, Kaisan T, Ishikawa T, Kubota T, et al. Delayed hydrothorax induced by a pericutaneous central venous catheter; report of a case. Kyobu Geka 2002;55:213-5
  7. McDonnell PJ, Qualman SJ, Hutchins GM. Bilateral hydrothorax as a life-threatening complication of central venous hyperalimentation. Surg Gynecol Obstet 1984;158:577-9
  8. Porcel JM. Unilateral pleural effusion secondary to brachiocephalic venous thrombosis: a rare complication of central vein catheterization. Respiration 2002;69:569 https://doi.org/10.1159/000066460
  9. Dhande V, Kattwinkel J, Alford B. Recurrent bilateral pleural effusions secondary to superior vena cava obstruction as a complication of central venous catheterization. Pediatrics 1983;72:109-13
  10. Currarino G. Migration of jugular or subclavian venous catheters into inferior tributaries of the brachiocephalic veins or into the azygos vein, with possible complications. Pediatr Radiol 1996;26:439-49 https://doi.org/10.1007/BF01377198
  11. Lee AC, Patel JV, Picton SV, Squire R. Internal thoracic vein cannulation as a complication of central venous catheter insertion. Med Pediatr Oncol 2003;40:195-6 https://doi.org/10.1002/mpo.10120
  12. Jung KS. Mechanism of pleural effusion. Tuberc Respir Dis 1999:47;141-9 https://doi.org/10.4046/trd.1999.47.2.141