Abstract
Bilateral lethal chylothoraces developed in a premature infant secondary to superior vena caval obstruction related to central venous catheterization for total parenteral nutrition. The accumulation of chyle in the lungs was preceded radiographically by the typical lymphatic pattern in the lungs, usually associated with lymphangiectasia. A nuclear medicine lymphangiogram showed abnormal accumulation of the isotope in the lungs secondary to the lymphatic obstruction.
References
Vieras F, Boyd CM (1977) Radionuclide lymphangiography in the evaluation of pediatric patients with lower-extremity edema: concise communication. J Nucl Med 18: 441
Curci MR, Dibbins AW (1980) Bilateral chylothorax in a newborn. J Pediatr Surg 15: 663
Krammer SS, Taylor GA, Garfinkel DJ, Simmons M (1981) Lethal chylothoraces due to superior vena cava thrombosis in infants. AJR 137: 559
Effman EL, Ablow RC, Touloukian RJ, Seashore JH (1978) Radiographic aspects of total parenteral nutrition during infancy. Radiology 127: 195
Maier HC (1966) The pulmonary and pleural lymphatics: A challenge to the thoracic explorer. J Thoracic CV Surg 52: 155
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Seibert, J.J., Golladay, E.S. & Keller, C. Chylothorax secondary to superior vena caval obstruction. Pediatr Radiol 12, 252–254 (1982). https://doi.org/10.1007/BF00971774
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00971774