Abstract
We report here patient who developed massive pleural effusion after long-term catheterization into the right internal jugular vein.
The patient was a 45-year-old man with a 10-year history of diabetes. He was admitted to our hospital for relatively sudden onset anasarca. Urinary specimen showed massive proteinuria over 10g/day and renal biopsy shows membranous nephropathy accompanied by diabetic nephropathy. Since conservative therapy was not effective and heart failure developed, extra corporeal ultrafiltration method (ECUM) was started through a dialysis catheter in the right internal jugular vein. After one and half months, he developed massive pleural effusion on the right side and profound edema of the ipsilateral neck and face. Angiography demonstrated stenosis at the site of the venous angle. Removal of the catheter caused immediate resolution of neck and facial edema and pleural effusion.
