Cylothorax Developing Due to Thrombosis in
The Subclavian Vein

Işık, Yasemin; Göktaş, Uğur; Binici, Orhan; Katı, İsmail

doi:10.29333/ejgm/82226

Cited by 6 publications

(6 citation statements)

References 7 publications

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“…The pathogenesis is thrombosis resulting in occlusion of the duct opening. [ 3 ] “Chylothorax when occurs solely from an indwelling catheter, venous thrombosis is usually present” was remarked by authors in 1980s and also repeated in recent reviews. [ 4 ] The risk of venous thrombosis after a CVC is reported as 5%-10%.…”

Section: Discussionmentioning

confidence: 97%

“…Treatment is conservative which involves stopping enteral feed (increases chyle production) and starting parenteral feed (directly absorbed into the portal system). [ 3 ] There is no consensus about the optimal regime or its duration. [ 10 ] Some authors even consider it ineffective because holding enteral feed in ICU patients has its own harmful effects (stress ulcers, gastrointestinal bleeding, atrophy of intestinal mucosa and translocation of bacteria) and for this reason, we continued enteral feeding.…”

Section: Discussionmentioning

confidence: 99%

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Postoperative chylothorax of unclear etiology in a patient with right-sided subclavian central venous catheter placement

Asghar

Shamim

2017

Anesth Essays Res

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A young male underwent decompressive craniotomy for an intracerebral bleed. A right-sided subclavian central venous catheter was placed in the operating room after induction of anesthesia. Postoperatively, he was shifted to Intensive Care Unit (ICU) for mechanical ventilation due to low Glasgow coma scale. He had an episode of severe agitation and straining on the tracheal tube in the evening same day. On the 2nd postoperative day in ICU, his airway pressures were high, and chest X-ray revealed massive pleural effusion on right side. Under ultrasound guidance, 1400 milky white fluid was aspirated. It was sent for analysis (triglycerides) that confirmed chyle and hence, chylothorax was made as diagnosis. A duplex scan was done which ruled out thrombosis in subclavian vein. The catheter had normal pressure tracing with free aspiration of blood from all ports. Enteral feeding was continued as it is a controversial matter in the literature and he was monitored clinically and radiologically.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Postoperative chylothorax of unclear etiology in a patient with right-sided subclavian central venous catheter placement

Asghar

Shamim

2017

Anesth Essays Res

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“…Direct trauma and malignancy remain the most common causes of chylothorax in adults, with reported rates of 50 and 30%, respectively . Central vein thrombosis as a cause of chylothorax in adults is uncommon, with only a few cases reported in the literature, which were mainly related to central venous catheterization . However, central vein thrombosis‐related chylothorax is more common in the paediatric population .…”

Section: Discussionmentioning

confidence: 99%

Chylothorax and central vein thrombosis, an under‐recognized association: a case series

Kho

Tie

Chan

et al. 2017

Respirology Case Reports

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Chylothorax is defined as the presence of chyle in the pleural cavity. Central vein thrombosis is an under‐recognized cause of chylothorax in the adult population and is commonly related to central venous catheterization. Case 1 illustrates a patient with AIDS and disseminated tuberculosis with left chylothorax and central vein thrombosis after a month of antituberculosis therapy. Case 2 was a patient with advanced seminoma who presented with left chylothorax and central vein thrombosis while on chemotherapy. Chylothorax resolved with anticoagulation for both cases. Case 3 was a lymphoma patient with central vein thrombosis who developed chylothorax during chemotherapy. Chylothorax resolved with the continuation of anticoagulation and did not recur despite his progressive underlying lymphoma. There was no central venous catheterization in any of these three cases. These cases illustrate the unique association of central vein thrombosis and chylothorax and the importance of anticoagulation in its management.

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“…Subclavian vein thrombosis is nowadays becoming one of the common causes, and such cases have been reported. [6] Isik et al [7] found chylothorax as a complication of central venous catheterization. Warren et al [8] reported chylothorax secondary to obstruction of the superior vena cava: a complication of the LeVeen shunt.…”

Section: Discussionmentioning

confidence: 99%

A case of bilateral chylothorax owing to bilateral subclavian vein thrombosis

Ghewade¹,

Cladius²,

Jadhav³

et al. 2016

Int J Med Sci Public Health

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Chylothorax is defined by the presence of chyle in the pleural space, which denotes a leakage of lymphatic fluid from the thoracic duct or its tributaries. The various causes of chylothorax include trauma, malignancies such as lymphomas, miscellaneous causes including tuberculosis and idiopathy. Here, we report a case of bilateral chylothorax in a female patient, which resulted owing to bilateral subclavian vein thrombosis that subsided completely after treatment with anticoagulants.

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Cylothorax Developing Due to Thrombosis in The Subclavian Vein

Abstract: Chylothorax

Cited by 6 publications

References 7 publications

Postoperative chylothorax of unclear etiology in a patient with right-sided subclavian central venous catheter placement

Postoperative chylothorax of unclear etiology in a patient with right-sided subclavian central venous catheter placement

Chylothorax and central vein thrombosis, an under‐recognized association: a case series

A case of bilateral chylothorax owing to bilateral subclavian vein thrombosis

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