Hydromediastinum following Internal Jugular Vein Catheterization : A case report.

Kwak,  Hyun Joo; Lim,  Eui Sung; Ban,  So Young; Lee,  Ji Yeon; Yoon,  Joo Sun; Kil,  Hae Keum; Kim,  Ki Jun

doi:2007.52.3.335

Original Article

Korean Journal of Anesthesiology 2007;52(3):335-338.
DOI: https://doi.org/10.4097/kjae.2007.52.3.335

Hydromediastinum following Internal Jugular Vein Catheterization : A case report.

Hyun Joo Kwak, Eui Sung Lim, So Young Ban, Ji Yeon Lee, Joo Sun Yoon, Hae Keum Kil, Ki Jun Kim

Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea. kkj6063@yumc.yonsei.ac.kr

Abstract

We report a patient who developed a hydromediastinum associated with the insertion of a central venous catheter. A 32-year-old male, who presented for left nephroureterectomy, had a central venous catheter inserted after general anesthesia. The patient subsequently showed acute respiratory distress after extubation. His right neck was severely edematous and the chest radiograph revealed a widened mediastinal shadow. The exploratory neck incision showed fluid collection at the neck and mediastinum.

Key Words: central venous catheter; complications; hydromediastinum; neck edema; respiratory distress