RESUMO
CASE PRESENTATION: A 29-year-old Ukrainian woman presented to the obstetric clinic at 28 weeks' gestation with pregnancy complicated by intrauterine growth restriction. She reported progressively worsening dyspnea during her pregnancy and was found to have significant hypoxia with an oxygen saturation of 84% on room air prompting admission for further evaluation. Oxygen saturation improved to 92% on 10 L of supplemental oxygen. On further questioning, she was found to have a history significant for pleurodesis as a treatment for recurrent pneumothoraces and nephrectomy for a benign renal mass several years prior while living in Ukraine.
Assuntos
Dispneia/etiologia , Neoplasias Pulmonares/diagnóstico , Pulmão/diagnóstico por imagem , Linfangioleiomiomatose/diagnóstico , Pneumotórax/complicações , Complicações Neoplásicas na Gravidez , Adulto , Diagnóstico Diferencial , Dispneia/diagnóstico , Feminino , Humanos , Neoplasias Pulmonares/complicações , Linfangioleiomiomatose/complicações , Pneumotórax/diagnóstico , Gravidez , Radiografia Torácica , Tomografia Computadorizada por Raios XRESUMO
A traditional method for internal jugular vein catheterization has been through the transjugular approach. These days, ultrasound-guided cannulation is the preferred mode because of the higher success and lower complication rates. Complications associated with the transjugular approach include neck hematoma caused by carotid artery puncture, pleural puncture leading to pneumothorax and air embolism. Thoracic duct injury is a rare complication of left internal jugular vein catheterization. This complication occurred in one of the patients in whom ultrasound-guided left internal jugular vein catheterization was used. The anatomical basis of this injury is discussed here.