Neonatal lymphedema from thoracic duct obstruction complicating percutaneous intravenous central catheterization

Research output: Contribution to journalArticle

Abstract

Percutaneous intravenous central catheter (PICC) complications are not common and generalized edema and anasarca in neonates as a complication of PICC malposition is even rarer. Documentation of the pathomechanisms of lymphedema in cases of severe anasarca in neonates is not often done. Here we document thoracic duct obstruction as the cause of lymphedema in a neonate with severe nonpitting generalized edema. Most PICC procedures should ideally be guided by point-of-care bedside ultrasound (US), and this precaution may prevent malposition of PICC lines although it will not detect subsequent migration or extravasation.

Original languageEnglish (US)
Pages (from-to)67-72
Number of pages6
JournalLymphology
Volume50
Issue number2
StatePublished - 2017

Keywords

  • Anasarca
  • Edema
  • Lymphedema
  • Lymphoscintigraphy
  • Neonate
  • Percutaneous intravenous central catheter (PICC)
  • SPECT/CT
  • Thoracic duct

ASJC Scopus subject areas

  • Immunology and Allergy
  • Medicine(all)
  • Hematology

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