Perforation of azygos vein and right-sided hydrothorax caused by peripherally inserted central catheter in extremely low birth weight infant.
10.3345/kjp.2006.49.8.902
- Author:
Kee Soo HA
1
;
Jung Yeon SHIN
;
Mi Jung HWANG
;
Young Ok CHOI
;
Dong Han SHIN
;
Gi Young JANG
;
Byung Min CHOI
;
Kee Hwan YOO
;
Young Sook HONG
;
Chang Sung SON
Author Information
1. Department of Pediatrics, College of Medicine, Korea University, Korea. cbmin@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Hydrothorax;
Azygos vein;
Central venous catheterization;
Low-birth-weight infant
- MeSH:
Azygos Vein*;
Catheterization, Central Venous;
Catheters*;
Central Venous Catheters;
Humans;
Hydrothorax*;
Infant;
Infant, Extremely Low Birth Weight*;
Infant, Low Birth Weight;
Infant, Newborn;
Infant, Premature;
Pleural Effusion;
Rupture;
Thorax;
Veins;
Vena Cava, Superior
- From:Korean Journal of Pediatrics
2006;49(8):902-905
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case in which routine chest roentgenograms of an 840 g infant led to the belief that the peripherally inserted central catheter (PICC) was appropriately positioned within the superior vena cava when, in actuality, it was within the azygous arch. Although many cases of pleural effusions have been reported to be caused by a central venous catheter, a right-sided hydrothorax caused by azygous vein rupture from the use of a PICC is an extremely rare complication. Sudden changes in the condition of a preterm infant with PICC should raise the suspicion of a catheter- related problem.