Congenital chylothorax--successful management with chemical pleurodesis.

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.

• Authors: Srinivas Murki, Md Faheemuddin, Pramod Gaddam
• Journal: Indian journal of pediatrics (Indian J Pediatr) Vol. 77 Issue 3 Pg. 332-4 (Mar 2010) ISSN: 0973-7693 [Electronic] India
• PMID: 20140768 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Infective Agents, Local
• Povidone-Iodine

Topics

• Anti-Infective Agents, Local (administration & dosage)
• Chylothorax (congenital, therapy)
• Female
• Humans
• Infant, Newborn
• Male
• Pleural Effusion (etiology)
• Pleurodesis
• Povidone-Iodine (administration & dosage)