Recurrent idiopathic chylothorax
Keywords:
Recurrent idiopathic chylothorax, 2-year-old girl
Abstract
The chylous drainage may lead to highmorbidity and may even compromise survival because
of the large amount of loss, that is, deficits in
lymphocytes, protein, and immunoglobulin. The
treatment of chylothorax is still debatable with
different therapeutic approaches i.e., purely
conservative with elemental diet or total parenteral
nutrition, or surgical (early or late) with ligation of
the thoracic duct, pleurodesis, or placement of
pleuroperitoneal shunts. The purpose of this report
is to describe a case of chylothorax in a 2-year-old
girl which was recurrent and difficult to manage.
References
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Available from: URL: http://www.emedicine.com/med/
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Sabiston DC, Spencer FC, editors. Gibson’s surgery
of the chest. 4 th ed. Philadelphia: WB Saunders Co;
1983. p. 369-72.
11. LoCicero J. Benign and malignant disorders of the pleura.
In: Baue AE, Geha AS, Hammond GL, Laks H,
Naunheim KS, editors. Glenn’s thoracic and cardiovas-
cular surgery. 6 th ed. Philadephia: WB Saunders Co;
1996. p. 537-55.
12. Nogueras C, Monteagudo M, Vila M. Recent-onset tu-
berculous presenting as pseudochylothorax. Amer J Med
2002;113:166-8.
13. Nogueras C, Menteagudo M, Vila M, Cabezuelo A,
Mariscal D, Berlanga E. Recent-onset tuberculous pleu-
risy presenting as pseudochylothorax. Am J Med
2002;113:34-5.
14. Singh S, Girod JP, Ghobrial MW. Chylothorax as a complica-
tion of tuberculosis in the setting of the Human Immunode-
ficiency Virus Infection. Arch Int Med 2001;161: 24-6.
thoracic surgery. 4 th ed. Baltimore: Williams & Wilkins;
1994. p. 714-21.
2. Orenstein DM. Diseases of the pleura. In: Behrman MD,
Kliegman MD, Jenson HB, editors. Nelson textbook of
pediatrics. 16 th ed. Philadelphia: WB Saunders Co; 2000.
p. 1333-4.
3. Pérez J, Casal J, RodrÃgues W. Always remember chy-
lothorax. Southern Med J 1999;92:833-5.
4. Buttiker V, Fanconi S, Burger R. Chylothorax in chil-
dren: guidelines for diagnosis and management. Chest
1999;116:682-7.
5. Schidlow DV, Papastamelos C, Panitch HB. Abnormali-
ties of the pleural space. In: Taussig LM, Landau LI, edi-
tors. Pediatric respiratory medicine. St Louis: Mosby Inc;
1999. p. 1178-91.
6. Beghetti M, La Scala G, Belli D, Bugmann P, Kalangos
A, Le Coultre C. Etiology and management of pediatric
chylothorax. J Pediatr 2000;136:653-8.
7. Singh S, Girod JP, Ghobrial MW. Chylothorax as a com-
plication of tuberculosis in the setting of the human im-
munodeficiency virus infection. Arch Intern Med
2001;161:2621.
8. Nagesh BS, Sehgal S, Jindal SK, Arora SK. Evalua-
tion of polymerase chain reaction for detection of My-
cobacterium tuberculosis in pleural fluid. Chest
2001;119:1-4.
9. Kozar R, Cipolla J. Chylothorax. [cited 2003 Aug 26].
Available from: URL: http://www.emedicine.com/med/
topics381.htm
10. DeMeester TR, Lafontaine E. The pleura. In:
Sabiston DC, Spencer FC, editors. Gibson’s surgery
of the chest. 4 th ed. Philadelphia: WB Saunders Co;
1983. p. 369-72.
11. LoCicero J. Benign and malignant disorders of the pleura.
In: Baue AE, Geha AS, Hammond GL, Laks H,
Naunheim KS, editors. Glenn’s thoracic and cardiovas-
cular surgery. 6 th ed. Philadephia: WB Saunders Co;
1996. p. 537-55.
12. Nogueras C, Monteagudo M, Vila M. Recent-onset tu-
berculous presenting as pseudochylothorax. Amer J Med
2002;113:166-8.
13. Nogueras C, Menteagudo M, Vila M, Cabezuelo A,
Mariscal D, Berlanga E. Recent-onset tuberculous pleu-
risy presenting as pseudochylothorax. Am J Med
2002;113:34-5.
14. Singh S, Girod JP, Ghobrial MW. Chylothorax as a complica-
tion of tuberculosis in the setting of the Human Immunode-
ficiency Virus Infection. Arch Int Med 2001;161: 24-6.
Published
2016-10-10
How to Cite
1.
Nataprawira HM, Rosmayudi O, Effendy S. Recurrent idiopathic chylothorax. PI [Internet]. 10Oct.2016 [cited 27Apr.2024];44(6):253-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/788
Section
Case Report
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Received 2016-10-03
Accepted 2016-10-03
Published 2016-10-10
Accepted 2016-10-03
Published 2016-10-10
