, Ali Gündoğdu 1
, Eray Eroğlu 2
, Nevzat Herdem 3
, Ismail Koçyiğit 1
, Murat Hayri Sipahioğlu 1
, Bülent Tokgöz 1
, Oktay Oymak 1
2Department of Nephrology, Kilis State Hospital, Kilis, Turkey
3Department of Radiology, Erciyes University Faculty of Medicine, Kayseri, Turkey
Abstract
Background: Infection and vascular occlusion are common catheter-related complications in patients with central venous catheters.
Case Report: A hemodialysis patient presented at the emergency department with frequent shortness of breath. Diffuse pleural fluid was observed on the right side in a computerized tomography image of the chest. Thoracentesis was performed, a chest tube was inserted to treat chylothorax, and a triglyceride diet was administered. On the 13th day of hospitalization, the chest tube was removed and video-assisted thoracoscopic surgery was performed with successful results.
Conclusion: Chylothorax should be kept in mind in the differential diagnosis of hemodialysis patients with hypervolemia symptoms. Thoracentesis can aid in the diagnosis.