Congenital Chylothorax: Case Report
We present a case of fetal chylothorax while discussing about its management and outcomes. Fetal pleural effusion causes pulmonary hypoplasia of the lungs. Patient with 31 weeks of gestation has detected to have a fetal pleural effusion by routine ultrasonographic imaging. Fetal echocardiography wa...
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Medical Network
2013-08-01
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| Series: | Gynecology Obstetrics & Reproductive Medicine |
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| Online Access: | https://gorm.com.tr/index.php/GORM/article/view/200 |
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| author | Egemen Tolunay Bulut Varlı Fırat Tülek Emre Pabuçcu Şerife Esra Çetinkaya Korhan Kahraman Acar Koç |
| author_facet | Egemen Tolunay Bulut Varlı Fırat Tülek Emre Pabuçcu Şerife Esra Çetinkaya Korhan Kahraman Acar Koç |
| author_sort | Egemen Tolunay |
| collection | DOAJ |
| description |
We present a case of fetal chylothorax while discussing about its management and outcomes. Fetal pleural effusion causes pulmonary hypoplasia of the lungs.
Patient with 31 weeks of gestation has detected to have a fetal pleural effusion by routine ultrasonographic imaging. Fetal echocardiography was unable to demonstrate a cardiac pathology. Fetal thoracentesis revealed lymphocyte predominance and chylothorax was diagnosed. Chromosome analysis, metabolic screening and TORCH screening were normal. After the application of antenatal steroids, a caesarean section was performed at 34th gestational week. The newborn was taken to neonatal intensive care unit. After treatment with medium-and short-chain fatty acids, octreotid, and pleural drainage newborn is discharged from the hospital well two months later.
Chylothorax is one of the rare causes of respiratory distress in term neonates and most commonly occurs due to hydrops fetalis and perinatal infections. Rarely, congenital malformations of the thoracic duct and variational changes of embryonic lymphatic network were reported after autopsy. Some cases of chylothorax are found to be associated with Turner, Down and Noonan syndromes. Genetic analysis and infection screening should be considered to reveal the etiology. Usually chylothorax has a good prognosis. However prematurity, hydrops fetalis and degree of pulmonary hypoplasia are the factors determining
the mortality rate.
As a result, chylothorax should be included in the differential diagnosis of pleural effusion in the neonates, and thoracentesis should be made for early diagnosis. Appropriate and effective treatment of patients with chylothorax may contribute to the prognosis and neonatal survival.
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| format | Article |
| id | doaj-art-223c686ab07341d19e2b6fc65adbf3ff |
| institution | Kabale University |
| issn | 1300-4751 2602-4918 |
| language | English |
| publishDate | 2013-08-01 |
| publisher | Medical Network |
| record_format | Article |
| series | Gynecology Obstetrics & Reproductive Medicine |
| spelling | doaj-art-223c686ab07341d19e2b6fc65adbf3ff2025-02-11T21:20:44ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182013-08-01192139Congenital Chylothorax: Case ReportEgemen Tolunay0Bulut Varlı1Fırat Tülek2Emre Pabuçcu3Şerife Esra Çetinkaya4Korhan Kahraman5Acar Koç6Ankara University School of Medicine, Department of Obstetrics and Gynecology, AnkaraAnkara University School of Medicine, Department of Obstetrics and Gynecology, AnkaraAnkara University School of Medicine, Department of Obstetrics and Gynecology, AnkaraKaraman State Hospital Department of Obstetrics and Gynecology, KaramanAnkara University School of Medicine, Department of Obstetrics and Gynecology, AnkaraAnkara University School of Medicine, Department of Obstetrics and Gynecology, AnkaraAnkara University School of Medicine, Department of Obstetrics and Gynecology, Ankara We present a case of fetal chylothorax while discussing about its management and outcomes. Fetal pleural effusion causes pulmonary hypoplasia of the lungs. Patient with 31 weeks of gestation has detected to have a fetal pleural effusion by routine ultrasonographic imaging. Fetal echocardiography was unable to demonstrate a cardiac pathology. Fetal thoracentesis revealed lymphocyte predominance and chylothorax was diagnosed. Chromosome analysis, metabolic screening and TORCH screening were normal. After the application of antenatal steroids, a caesarean section was performed at 34th gestational week. The newborn was taken to neonatal intensive care unit. After treatment with medium-and short-chain fatty acids, octreotid, and pleural drainage newborn is discharged from the hospital well two months later. Chylothorax is one of the rare causes of respiratory distress in term neonates and most commonly occurs due to hydrops fetalis and perinatal infections. Rarely, congenital malformations of the thoracic duct and variational changes of embryonic lymphatic network were reported after autopsy. Some cases of chylothorax are found to be associated with Turner, Down and Noonan syndromes. Genetic analysis and infection screening should be considered to reveal the etiology. Usually chylothorax has a good prognosis. However prematurity, hydrops fetalis and degree of pulmonary hypoplasia are the factors determining the mortality rate. As a result, chylothorax should be included in the differential diagnosis of pleural effusion in the neonates, and thoracentesis should be made for early diagnosis. Appropriate and effective treatment of patients with chylothorax may contribute to the prognosis and neonatal survival. https://gorm.com.tr/index.php/GORM/article/view/200Fetal chylothoraxFetal pleural effusionFetal hydrothoraxFetal thoracentesis |
| spellingShingle | Egemen Tolunay Bulut Varlı Fırat Tülek Emre Pabuçcu Şerife Esra Çetinkaya Korhan Kahraman Acar Koç Congenital Chylothorax: Case Report Gynecology Obstetrics & Reproductive Medicine Fetal chylothorax Fetal pleural effusion Fetal hydrothorax Fetal thoracentesis |
| title | Congenital Chylothorax: Case Report |
| title_full | Congenital Chylothorax: Case Report |
| title_fullStr | Congenital Chylothorax: Case Report |
| title_full_unstemmed | Congenital Chylothorax: Case Report |
| title_short | Congenital Chylothorax: Case Report |
| title_sort | congenital chylothorax case report |
| topic | Fetal chylothorax Fetal pleural effusion Fetal hydrothorax Fetal thoracentesis |
| url | https://gorm.com.tr/index.php/GORM/article/view/200 |
| work_keys_str_mv | AT egementolunay congenitalchylothoraxcasereport AT bulutvarlı congenitalchylothoraxcasereport AT fırattulek congenitalchylothoraxcasereport AT emrepabuccu congenitalchylothoraxcasereport AT serifeesracetinkaya congenitalchylothoraxcasereport AT korhankahraman congenitalchylothoraxcasereport AT acarkoc congenitalchylothoraxcasereport |