Abstract
Background: Chylothorax is a rare but serious complication of chronic venous lines. Here we are presenting a 5-year old with End stage renal disease who developed bilateral cylothorax secondary to right internal jugular and left subclavian vein due to the use of central hemodialysis lines
Case presentation: This s a 5 year old mare witj ESRD secondary to alport syndrpme who presented to emergency department with shortness of breath. Chest X ray showed right sided plural effusion and chemical analysis indicated that it's a chylothoax . Patient improved clinically and discharged in a good condtion.One month later he presented again to emergency department with severe shotnss of breath and chest X ray and plural fluid analysis indicted a bilateral chylothorax. Bilateral pigtail inserted. Patient managed conservatively with total parental nutrition.
Conclusion: Although Chylothorax is a rare but it is serious diagnosis that's require an attention. Patients on chronic venous lines are at particular risk to develop such a complication
Background: Chylothorax is an accumulation of chyle fluid in the plural cavity. It is are complication thats can develop secondary to venous stenosis or obstruction. Underlying mechanisms include developing of a thrombosis intitmal injury (1). Another potential mechanism for chylothorax is injury to thoracic duct in open heart surgery (1). Paints with chronic kidney disease are at particular rsil becuase of chonic use of central venous lines to undergo hemodialsysis Here we are presenting a first case in the literature for child with ESRD who developed a bilateral cylothorax.