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Nutrición Hospitalaria
versão On-line ISSN 1699-5198versão impressa ISSN 0212-1611
Resumo
RODRIGUEZ ESCOBEDO, Raúl et al. Nutrithorax: an uncommon complication of parenteral nutrition. Nutr. Hosp. [online]. 2020, vol.37, n.6, pp.1281-1284. Epub 08-Fev-2021. ISSN 1699-5198. https://dx.doi.org/10.20960/nh.03205.
Introduction:
parenteral nutrition (PN) is commonly used as a nutritional support option. It may cause complications, partly due to a central venous access. Chylothorax is an accumulation of lymphatic fluid in the pleural space.
Case report:
a 57-year-old man was admitted for cholecystectomy. A complicated postoperative period required PN. Cardiorespiratory symptoms started while receiving PN, and a bilateral pleural and pericardial effusion was identified. It was initially interpreted as chylothorax due to its milky appearance and high triglyceride content. A CT scan confirmed a malposition of the CVC with PN leakage at the level of the innominate venous trunk. It was surgically repaired.
Discussion:
parenteral nutrition leakage is an unusual complication of PN. It should be included in the differential diagnosis of pleural effusion.
Palavras-chave : Parenteral nutrition; Pleural effusion; Chylothorax; Central venous catheter; Nutrithorax.