Idiopathic congenital chylothorax treated with octreotide

Sousa, P. R.; Leitao, H.; Camacho, M. C.; Nunes, J. L.

http://hdl.handle.net/10400.26/34682

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Abstract(s)

Idiopathic congenital chylothorax is defined as an abnormal accumulation of lymphatic fluid within the pleural space and is a relatively rare condition. It is a cause of progressive respiratory distress with nutritional and immunological consequences. Treatment of congenital chylothorax has been conservative management and cases unresponsive usually require surgery. We report a case of idiopathic congenital chylothorax treated with octreotide (a somatostatin analogue), avoiding surgery after failed conservative medical treatment. The patient promptly improved after initiation of endovenous octreotide treatment (10 µg/kg/h) with no observed side effects.

Keywords

Chest Tubes Chylothorax Diagnosis, Differential Gastrointestinal Agents Humans Infant, Newborn Male Octreotide Paracentesis Parenteral Nutrition, Total Radiography, Thoracic Madeira Island Região Autónoma da Madeira Portugal