Abstract
Congenital Chylothorax is a rare entity which is characterized by abnormal accumulation of chyle in pleural cavity. Chylothorax presenting as non-immune hydrops is even rarer. We report a case of congenital bilateral chylothorax presenting as non immune hydrops and managed successfully with chemical pleurodesis. A term male baby presented at birth with bilateral pleural effusions and subcutaneous edema. It was initially managed with ventilation and intercostals drainage (ICD). After the initiation of feeds, re-accumulation of pleural fluid led to the diagnosis of congenital chylothorax. Management with ICD and octreotide was unsuccessful but responded to chemical pleurodesis with 4% povidine iodine done on 3 separate occasions.
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Young S, Dalgleish S, Eccleston A, Akierman A, McMillan D. Severe congenital chylothorax treated with octreotide. J Perinatol 2004; 24: 200–202.
Brissaud O, Desfrere L, Mohsen R, Fayon M, Demarquez JL. Congenital idiopathic chylothorax in neonates: chemical pleurodesis with povidone-iodine. Arch Dis Child Fetal Noenatal 2003;88: F531–F533.
Mitanchez D, Walter-Nicolet E, Salomen R, Bavoux F, Hubert P. Congenital chylothorax: What is the best strategy? Arch Dis Child Fetal Noenatal 2006; 91: F153–F154
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Murki, S., Faheemuddin, M. & Gaddam, P. Congenital Chylothorax - Successful management with chemical pleurodesis. Indian J Pediatr 77, 332–334 (2010). https://doi.org/10.1007/s12098-010-0022-4
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DOI: https://doi.org/10.1007/s12098-010-0022-4