Congenital chylothorax in a late preterm neonate associated
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Congenital chylothorax is an accumulation of chyle in the pleural space that may present in neonatal period with respiratory distress. The diagnosis of chylothorax is considered when pleural fluid assay has a triglyceride level >1.1 mmol/L (97 mg/dl) and total cell count of >1000 cells/ml with >80% lymphocytes. Chylothorax can be unilateral or bilateral and congenital or acquired. Congenital chylothorax is associated with abnormalities of the lymphatic system such as lymphangiomatosis and lymphangiectasia, congenital heart disease, chromosomal abnormalities (trisomy 21, Turner's and Noonan syndromes) and H-type of tracheoesophageal fistula). Acquired chylothorax is usually due to trauma to the thoracic duct during cardiac or thoracic surgery.A 35-week preterm who presented with massive congenital chylothorax complicated with hydrops fetalis. The neonate was treated successfully by total parenteral nutrition, octreotide, and pleurodesis with betadine. Pleurodesis with betadine seems to be effective in the treatment of congenital chylothorax....

http://www.jcnonweb.com/article.asp?issn=2249-4847;year=2017;volume=6;issue=3;spage=208;epage=210;aulast=Vaghela
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