{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T10:17:27Z","timestamp":1756462647010,"version":"3.40.4"},"reference-count":7,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 20-year-old woman admitted with an aspirin overdose was encephalopathic and was intubated for airway protection. Under sonographic guidance, a right internal jugular central venous catheter was inserted for volume resuscitation. She was agitated and required treatment with a propofol infusion. Her salicylate levels improved and she was successfully extubated 12\u2005h after intubation. One day later she developed severe dyspnoea and a right-sided pleural effusion and required immediate reintubation. The effusion was drained and was consistent with a chylothorax. A CT scan of the chest revealed that the central venous catheter traversed the mediastinum with its tip in the right pleural space. The propofol infusion was draining into the pleural space. A video-assisted thoracoscopic surgery was performed to drain the pleural effusion and repair the punctured vessel. She was extubated within a day and discharged home 1\u2005day later without any pleural fluid.<\/jats:p>","DOI":"10.1136\/bcr-2013-008765","type":"journal-article","created":{"date-parts":[[2013,4,19]],"date-time":"2013-04-19T04:43:08Z","timestamp":1366346588000},"page":"bcr2013008765","source":"Crossref","is-referenced-by-count":5,"title":["Pseudochylothorax and diaphragmatic weakness secondary to a misplaced central venous catheter"],"prefix":"10.1136","volume":"2013","author":[{"given":"Hari Krishna","family":"Puttagunta","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chanaka","family":"Seneviratne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yizhak","family":"Kupfer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sidney","family":"Tessler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,4,18]]},"reference":[{"key":"2025042707255187000_2013.apr18_1.bcr2013008765.1","doi-asserted-by":"crossref","first-page":"487","DOI":"10.2214\/ajr.146.3.487","article-title":"Impending catheter perforation of superior vena cava\u2014radiographic recognition","volume":"2013","author":"Tocino","year":"1986","journal-title":"Am J Roentgenol"},{"key":"2025042707255187000_2013.apr18_1.bcr2013008765.2","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1111\/j.1492-7535.2005.01151.x","article-title":"Accidental extravascular insertion of a subclavian hemodialysis catheter is signaled by non-visualization of catheter tip","volume":"2013","author":"Florescu","year":"2005","journal-title":"Hemodial Int"},{"key":"2025042707255187000_2013.apr18_1.bcr2013008765.3","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1016\/0020-1383(85)90050-6","article-title":"Tension haemothorax: an unusual complication of central venous catheterization","volume":"2013","author":"Shiloni","year":"1985","journal-title":"Injury"},{"key":"2025042707255187000_2013.apr18_1.bcr2013008765.4","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1007\/BF01683188","article-title":"Hydrothorax, a complication of the insertion of central venous cannulae","volume":"2013","author":"Apps","year":"1977","journal-title":"Intens Care Med"},{"key":"2025042707255187000_2013.apr18_1.bcr2013008765.5","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1186\/1755-7682-3-32","article-title":"Massive hydrothorax following subclavian vein catheterization","volume":"2013","author":"Omar","year":"2010","journal-title":"Int Arch Med"},{"key":"2025042707255187000_2013.apr18_1.bcr2013008765.6","first-page":"837","article-title":"Late development of hydrothorax induced by a central venous catheter: report of a case","volume":"2013","author":"Tayama","year":"1996","journal-title":"Jpn J Surg"},{"key":"2025042707255187000_2013.apr18_1.bcr2013008765.7","doi-asserted-by":"crossref","first-page":"183","DOI":"10.4097\/kjae.2012.63.2.183","article-title":"Phrenic nerve palsy after internal jugular venous catheter placement","volume":"2013","author":"Ahn","year":"2012","journal-title":"Korean J Anesthesiol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-008765","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T14:25:58Z","timestamp":1745763958000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-008765"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,4,18]]},"references-count":7,"alternative-id":["10.1136\/bcr-2013-008765"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-008765","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,4,18]]}}}