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A Case Of Congenital Idiopathic Chylothorax

Year 2015, Volume: 12 Issue: 4, 169 - 170, 01.07.2015

Abstract

Hydropsfetalis is defined as the presence of at least two of the conditions including skin edema, pleural effusion, pericardial effusion, ascites, and polyhydramnios. Chylothorax is characterized by the accumulation of the chylous fluid within pleural space. The raised triglycerides and predominance of lymphocytes in pleural aspirate confirms the diagnosis. The prevalence of congenital chylothorax, which is the rare cause of hydropsfetalis, has been estimated as 1/10000 – 1/15000. The treatment is mainly conservative, unresponsive patients may require medical therapy and surgery. Idiopathic congenital chylothorax is usually transient and resolves by interruption of the thoracic lymphatic flow. Herein, we present a preterm infant with idiopathic congenital chylothorax in whom breast feeding was successfully achieved following a short term dietary modification. We suggest that in patients with idiopathic congenital chylothorax starting breast feeding at early period, meanwhile considering also the clinical condition and the amount of pleural drainage, may shorten the duration of hospitalization.

References

  • Etches P, Demianczuk N, Chari R. Non-immunehydropsfetalis. In: Rennie JM, editor. Roberton’s Textbook of Neona-tology. 4th ed. Elsevier Churchill Livin- gstone, Philadelphia, 2005:773-84.
  • Dubin PJ, Kind IN, Gallagher PG. Congenital chylothorax. Curr. Opin. Pediatr. 2000;12: 505–9.
  • Buttiker V, Fanconi S, Burger R. Chylothorax in children: guidelines for diagno- sis and management. Chest 1999;116:682–7.
  • Caserío S, Gallego C, Martin P, Moral MT, Pallás CR, Galindo A.Congenital chylothorax: from foetal life to adolescence. Acta Paediatr 2010;99: 1571-7.
  • Rasiah SV, Oei J, Lui K. Octreotide in thetreatment of congenital chylothorax. J Paediatr Child Health. 2004 ;40 :585-8.
  • Rocha G. Pleural effusions in theneonate. Curr Opin Pulm Med 2007; 13: 305–311.
  • Dendale J, Comet P, Amram D, Lesbros D. Prenatal diagnosis of chylothorax. Arch Pediatr 1999; 6: 867–871.
  • Van Straaten HL, Gerards LJ, Krediet TG. Chylothorax in the neonatal period. Eur J Pediatr 1993; 152: 2–5.
  • Sivasli E, Dogru D, Aslan AT, Yurdakok M, Tekinalp G. Spontaneous neona- tal chylothorax treated with octreotide in Turkey: A case report. J. Perinatol. 2004; 24: 261–2.
  • Panthongviriyakul C, Bines JE. Post-operative chylothorax in children: an evidence based Management algorithm. J Paediatr Child Health 2008; 44: 716–721.
  • Das A, Shah PS. Octreotide for the treatment of chylothorax in neonates. Cochrane Database Syst Rev. 2010; 9: 6388.

İdiopatik Konjenital Şilotorakslı Bir Yenidoğan Olgusu

Year 2015, Volume: 12 Issue: 4, 169 - 170, 01.07.2015

Abstract

Hidropsfetalis; cilt ödemi, plevral effüzyon, perikardiyal effüzyon, peritoneal effüzyon, asit ve polihidroamnios gibi durumlardan iki veya daha fazlasının bulunması olarak tanımlanır. Şilotoraks, plevral aralıkta lenfoid sıvı birikimi olarak tanımlanmaktadır. Tanı plevral sıvıda trigliserit yüksekliği ve belirgin lenfosit hakimiyeti ile konulur. Hidropsfetalisin nadir nedenlerinden biri olan konjenital şilotoraks sıklığı 1/10000 – 1/15000 olarak bildirilmektedir. Tedavide konservatif yöntemler kullanılmakta, yanıt alınamayan vakalarda medikal ve cerrahi tedavi uygulanmaktadır. İdiopatik konjenital şilotoraks genellikle geçici bir durumdur ve toraks lenf akımının kesilmesi ile durur. Ancak bu düzelme günler ve haftalar sonrasında gerçekleşebilir. Burada idiopatik konjenital şilotoraksı olan bir preterm infantta, tedavide kısa süreli diyet modifikasyonundan sonra erken dönemde anne sütü ile beslenmeye geçilerek başarı sağlanması sunulmaktadır. İdiopatik konjenital şilotorakslı vakalarda klinik durum ve plevral drenaj miktarı gözönüne alınarak erken dönemde anne sütü ile beslenmeye geçilmesinin hastanede kalış süresini kısaltacağını düşünmekteyiz.

References

  • Etches P, Demianczuk N, Chari R. Non-immunehydropsfetalis. In: Rennie JM, editor. Roberton’s Textbook of Neona-tology. 4th ed. Elsevier Churchill Livin- gstone, Philadelphia, 2005:773-84.
  • Dubin PJ, Kind IN, Gallagher PG. Congenital chylothorax. Curr. Opin. Pediatr. 2000;12: 505–9.
  • Buttiker V, Fanconi S, Burger R. Chylothorax in children: guidelines for diagno- sis and management. Chest 1999;116:682–7.
  • Caserío S, Gallego C, Martin P, Moral MT, Pallás CR, Galindo A.Congenital chylothorax: from foetal life to adolescence. Acta Paediatr 2010;99: 1571-7.
  • Rasiah SV, Oei J, Lui K. Octreotide in thetreatment of congenital chylothorax. J Paediatr Child Health. 2004 ;40 :585-8.
  • Rocha G. Pleural effusions in theneonate. Curr Opin Pulm Med 2007; 13: 305–311.
  • Dendale J, Comet P, Amram D, Lesbros D. Prenatal diagnosis of chylothorax. Arch Pediatr 1999; 6: 867–871.
  • Van Straaten HL, Gerards LJ, Krediet TG. Chylothorax in the neonatal period. Eur J Pediatr 1993; 152: 2–5.
  • Sivasli E, Dogru D, Aslan AT, Yurdakok M, Tekinalp G. Spontaneous neona- tal chylothorax treated with octreotide in Turkey: A case report. J. Perinatol. 2004; 24: 261–2.
  • Panthongviriyakul C, Bines JE. Post-operative chylothorax in children: an evidence based Management algorithm. J Paediatr Child Health 2008; 44: 716–721.
  • Das A, Shah PS. Octreotide for the treatment of chylothorax in neonates. Cochrane Database Syst Rev. 2010; 9: 6388.
There are 11 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Mehmet Büyüktiryaki

Erbu Yarcı This is me

Nilüfer Okur This is me

Şehribanu Işık This is me

Ömer Ertekin This is me

Nurdan Uraş This is me

Şerife Suna Oğuz This is me

Publication Date July 1, 2015
Published in Issue Year 2015 Volume: 12 Issue: 4

Cite

Vancouver Büyüktiryaki M, Yarcı E, Okur N, Işık Ş, Ertekin Ö, Uraş N, Oğuz ŞS. İdiopatik Konjenital Şilotorakslı Bir Yenidoğan Olgusu. JGON. 2015;12(4):169-70.