Superior vena cava thrombosis and chylothorax: Relationship in pediatric nephrotic syndrome

James Hanna, Edward Truemper, Edward Burton

Research output: Contribution to journalArticle

26 Scopus citations

Abstract

We report a 40-month-old black male with nephrotic syndrome who developed chylothorax associated with superior vena cava (SVC) thrombosis. To our knowledge, this is the third reported case of spontaneous SVC thrombosis in a nephrotic patient and the first in which chylothorax was also present. Ultrasonography of the pleura and thoracic vasculature was invaluable in making the diagnosis and monitoring the resolution of this condition during treatment. Contrary to previous reports, thoracic chylous effusions complicating uncontrolled nephrotic syndrome do not originate exclusively as a consequence of abdominal pathology, but rather as this case demonstrates, they can occur from lymphatic obstruction caused by thoracic vein thrombosis.

Original languageEnglish (US)
Pages (from-to)20-22
Number of pages3
JournalPediatric Nephrology
Volume11
Issue number1
DOIs
StatePublished - Feb 1997

Keywords

  • Chylothorax
  • Nephrotic syndrome
  • Pleural effusion
  • Superior vena caval obstruction

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Nephrology

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