had a patient (male in his twenties) with newly placed PICC. He had no pain or other complaints about his PICC, other than that the dressing got soaking wet all the time. He needed daily or more dressing changes. He had no CRP elevation, no infection symptoms. As we did not know what it was the line was pulled and we did not dare to place another one. I got hold of a vascular surgeon today and he thought it was lymph leakage from accidental lymph vessel puncture at PICC placement. He said it would probably have taken up to two weeks for the leakage to stop and that it seldom gets infected if you can keep up with the dressing changes. Has anyone seen this? Do you agree on lymph leakage? Could we have made the leakage stop faster with any kind of intervention? Can you distinguish lymph vessels on the ultrasound? Would it be OK to place a new PICC in this patient? Any other input from anyone?
Thanks from StockholmÂ