Nutrición Hospitalaria
ISSN 1699-5198 ISSN 0212-1611
RODRIGUEZ ESCOBEDO, Raúl et al. Nutrithorax: an uncommon complication of parenteral nutrition. []. , 37, 6, pp.1281-1284. 08--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.
: Parenteral nutrition; Pleural effusion; Chylothorax; Central venous catheter; Nutrithorax.