Sousa, P. R.Leitao, H.Camacho, M. C.Nunes, J. L.2021-01-122021-01-122010-05-19BMJ Case Rep. 2010; 2010: bcr06.2009.1950.1757-790xhttp://hdl.handle.net/10400.26/34682Idiopathic 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.engChest TubesChylothoraxDiagnosis, DifferentialGastrointestinal AgentsHumansInfant, NewbornMaleOctreotideParacentesisParenteral Nutrition, TotalRadiography, ThoracicMadeira IslandRegião Autónoma da MadeiraPortugaljournal article10.1136/bcr.06.2009.1950