Neonatal chylothorax

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Congenital neonatal chylothorax with hydrops fetalis treated with octreotide.

Congenital idiopathic chylothorax is the most common form of pleural effusion in neonates. It results from collection of lymphatic fluid in the pleural space secondary to leakage from the thoracic duct or one of its main tributaries. Chylothorax complicated by hydrops fetalis in a premature or term infant is an uncommon, serious clinical problem. We report on two cases with congenital chylothor...

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Congenital fetal and neonatal visceral chylous effusions: neonatal chylothorax and chylous ascites revisited. A multicenter retrospective study.

This retrospective study was carried out at eight Neonatal Intensive Care Units (NICU) Centers worldwide on 33 newborns presenting at birth with pleural, pericardial, or abdominal chylous effusions. Diagnosis of chylous effusion is based on findings of fluid with a milk-like appearance, a concentration of triglycerides in pleural effusion >1.1 mmol/l, and a total cell count >1,000 cells/ml with...

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Congenital Chylothorax

Although pleural effusion is a rare cause of respiratory distress in newborns, being familiar with this disease is very important because of the generally favorable prognosis when the diagnosis is done early and therapy is prompt. We report a case of a full-term baby diagnosed with respiratory distress after 1 week of life. An X-ray of his chest showed a left pleural effusion. Moreover, a thora...

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Loculated neonatal chylothorax treated with octreotide: complete recovery while on unrestricted full fat breast milk.

prognosis after surgical resection can be expected in comparison with patients with preoperative confirmed N2 disease [8]. An additional advantage of the PET scan in comparison with mediastinoscopy is that the PET scan can indicate suspected lymph nodes in stations not amenable to mediastinoscopy (eg, paraesophageal or supraclavicular). Staging of the mediastinum using positron emission tomogra...

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Chylothorax in the newborn.

Case Report J.K., a doctor's first child, after an uncomplicated pregnancy, was born at term on June 19, 1948, by forceps delivery for delay in the second stage of labour. The child was asphyxiated at first and responded slowly to routine treatment, but he was crying wel 20 minutes after birth. He weighed 7 lb. 6 oz. and externally appeared quite normal, apart from a small right-sided hydrocoel...

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ژورنال

عنوان ژورنال: International Journal of Contemporary Pediatrics

سال: 2019

ISSN: 2349-3291,2349-3283

DOI: 10.18203/2349-3291.ijcp20192055