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Chylopericardium and chylothorax,resulting from a catheter to the left subclavian vein: An autopsy report
Authors:F. Smedts  K. Kubat  H. Chande
Affiliation:(1) Department of Pathology, chief Prof. Dr. G.P. Vooijs, University Hospital Nijmegen, The Netherlands;(2) Muhimbili Medical Centre, Histopathology Department, Dar es Salam, Tanzania
Abstract:Summary A 47-year-old woman with long-standing myelofibrosis and thrombocytosis whose spleen was removed 9 days prior to death, died of a heart tamponade. Subsequent autopsy revealed the development of chylothorax and chylopericardium due to the existence of a thrombus obstructing the ostium of the left thoracic duct, as a consequence of the particular location of a central venous catheter in the left subclavian vein in the proximity of the confluence of the left thoracic duct in the afore-mentioned vein.
Keywords:Catheter's iatrogenic disease  Lymphatic disease  Pericardial effusions  Autopsy
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