Lymphocutaneous Fistula As a Long-Term Complication of Multiple Central Venous Catheter Placement

We report a case of a lymphocutaneous fistula in a 19-month-old boy who had been a premature neonate, born in the 23rd week of gestation. The fistula, an apparent complication of central venous line placement during the patient's first 5 months of life, was composed of a distinct lymphatic vessel bundle in the right supraclavicular region, with its exit point at the posterior aspect of the right shoulder. The drainage ceased imme-diately after resection and repair of a 1-cm obstruction in the superior vena cava.