Report of three cases: congenital chylothorax and treatment modalities.

Altuncu E., Akman I., Kiyan G., Ersu R., Yurdakul Z., Bilgen H. S., ...Daha Fazla

The Turkish journal of pediatrics, cilt.49, sa.4, ss.418-21, 2007 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 49 Sayı: 4
  • Basım Tarihi: 2007
  • Dergi Adı: The Turkish journal of pediatrics
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.418-21
  • Anahtar Kelimeler: congenital chylothorax, newborn, octreotide, pleurodesis, MANAGEMENT, CHILDREN
  • Marmara Üniversitesi Adresli: Evet

Özet

Chylothorax is the most common cause of pleural effusion in the newborn. We report three patients with congenital chylothorax and discussed the clinical course and treatment options. Cases 1 and 2 with congenital chylothorax were treated by chest tube placement and total parenteral nutrition (TPN), and were fed a formula rich in medium-chain triglyceride. They were discharged home without any sequelae. Our 3(rd) case with chylothorax did not respond to the conventional therapies. Octreotide infusion was tried without any benefits and necessitated surgical intervention, but the infant developed chronic lung disease requiring nasal oxygen therapy until three months of age. All three patients developed complications of chylothorax treatment like chest tube dysfunction, pneumothorax, nosocomial sepsis, and cholestasis.