Korean Journal of Pediatrics 2006;49(8):902-905.
Published online August 15, 2006.
Perforation of azygos vein and right-sided hydrothorax caused by peripherally inserted central catheter in extremely low birth weight infant
Kee Soo Ha1, Jung Yeon Shin1, Mi Jung Hwang2, Young Ok Choi2, Dong Han Shin1, Gi Young Jang1, Byung Min Choi1, Kee Hwan Yoo1, Young Sook Hong1, Chang Sung Son1
1Department of Pediatrics, College of Medicine, Korea University, Korea University, Seoul, Korea
2Department of Pediatrics, College of Nursing, Korea University, Seoul, Korea
초극소 저출생 체중아에서 중심 정맥 도관술로 발생한 홀정맥 파열과 우측 흉수증 1례
하기수1, 신정연1, 황미정2, 최영옥2, 신동한1, 장기영1, 최병민1, 유기환1, 홍영숙1, 손창성1
1고려대학교 의과대학 소아과학교실
2고려대학교 간호학과
Byung Min Choi, Email: cbmin@korea.ac.kr
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.
Key Words: Hydrothorax , Azygos vein , Central venous catheterization , Low-birth-weight infant

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