Congenital chylothorax--successful management with chemical pleurodesis.
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.
Murki
Srinivas
S
Department of Pediatrics, Fernandez Hospital Hyderabad, Hyderabad, India. srinivas_murki2001@yahoo.com
Faheemuddin
Md
M
Gaddam
Pramod
P
D000891:Anti-Infective Agents, Local / Q000008:administration & dosage; D002916:Chylothorax / Q000151:congenital* / Q000628:therapy*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010996:Pleural Effusion / Q000209:etiology; D018700:Pleurodesis; D011206:Povidone-Iodine / Q000008:administration & dosage
D000891:Anti-Infective Agents, Local; D011206:Povidone-Iodine