Document Detail


Congenital chylothorax--successful management with chemical pleurodesis.
MedLine Citation:
PMID:  20140768     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-02-08
Journal Detail:
Title:  Indian journal of pediatrics     Volume:  77     ISSN:  0973-7693     ISO Abbreviation:  Indian J Pediatr     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-05-21     Completed Date:  2010-09-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0417442     Medline TA:  Indian J Pediatr     Country:  India    
Other Details:
Languages:  eng     Pagination:  332-4     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Fernandez Hospital Hyderabad, Hyderabad, India. srinivas_murki2001@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Anti-Infective Agents, Local / administration & dosage
Chylothorax / congenital*,  therapy*
Female
Humans
Infant, Newborn
Male
Pleural Effusion / etiology
Pleurodesis*
Povidone-Iodine / administration & dosage
Chemical
Reg. No./Substance:
0/Anti-Infective Agents, Local; 25655-41-8/Povidone-Iodine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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