Interventional Medicine and Applied Science
Volume/Issue:
Volume 2: Issue 4
Successful surgical intervention in a case of spontaneous chylothorax in an infant unresponsive to conservative therapy
Authors:
K. Szakszon Institute of Pediatrics, University of Debrecen, Medical & Health Science Centre, Debrecen, Hungary

Search for other papers by K. Szakszon in
Current site
Google Scholar
PubMed Close
,
Z. L. Veres Department of Surgery, Thoracic Surgery Unit, University of Debrecen, Medical & Health Science Center, Debrecen, Hungary

Search for other papers by Z. L. Veres in
Current site
Google Scholar
PubMed Close
,
M. Boros Institute of Pediatrics, University of Debrecen, Medical & Health Science Centre, Debrecen, Hungary

Search for other papers by M. Boros in
Current site
Google Scholar
PubMed Close
,
S. Sz. Kiss Department of Surgery, Thoracic Surgery Unit, University of Debrecen, Medical & Health Science Center, Debrecen, Hungary

Search for other papers by S. Sz. Kiss in
Current site
Google Scholar
PubMed Close
,
B. Nagy Institute of Pediatrics, University of Debrecen, Medical & Health Science Centre, Debrecen, Hungary

Search for other papers by B. Nagy in
Current site
Google Scholar
PubMed Close
,
E. Bálega Institute of Pediatrics, University of Debrecen, Medical & Health Science Centre, Debrecen, Hungary

Search for other papers by E. Bálega in
Current site
Google Scholar
PubMed Close
,
á. Papp Institute of Pediatrics, University of Debrecen, Medical & Health Science Centre, Debrecen, Hungary

Search for other papers by á. Papp in
Current site
Google Scholar
PubMed Close
,
E. Németh Institute of Pediatrics, University of Debrecen, Medical & Health Science Centre, Debrecen, Hungary

Search for other papers by E. Németh in
Current site
Google Scholar
PubMed Close
,
I. Pataki Institute of Pediatrics, University of Debrecen, Medical & Health Science Centre, Debrecen, Hungary

Search for other papers by I. Pataki in
Current site
Google Scholar
PubMed Close
, and
T. Szabó Institute of Pediatrics, University of Debrecen, Medical & Health Science Centre, Debrecen, Hungary
Institute of Pediatrics, University of Debrecen, Medical & Health Science Center, Nagyerdei krt. 98, H-4012, Debrecen, Hungary

Search for other papers by T. Szabó in
Current site
Google Scholar
PubMed Close
Pages:
178–180
Online Publication Date:
01 Dec 2010
Publication Date:
01 Dec 2010
Article Category:
Research Article
DOI:
https://doi.org/10.1556/imas.2.2010.4.6
Keywords:
chylothorax; lymphatic malformation; thoracic duct; somatostatin
Restricted access

Abstract

We report a case of an infant with spontaneous chylothorax due to the congenital malformation of a small lymph vessel of the chest wall. Conservative therapy with omitting long-chain fatty acids from the diet, fat-free nutrition, total parenteral nutrition and intravenous somatostatin did not result in the decrease of pleural effusion. Thoracic surgical intervention performing thoracic duct ligation and using fibrin sealants was applied after 10 days of unsuccessful conservative therapy, and resulted in the complete recovery of the patient. Our experience support the already existing observations, that in cases where the daily loss of chyle exceeds 100 ml per age years and/or lasts longer than 2 weeks, early surgical intervention is recommended.

  • 1. U. Nygaard K. Sundberg H.S. Nielsen et al.2007 New Treatment of Early Fetal Chylothorax Obstet Gynecol 109 1088 1092.

  • 2. C.H. Doerr M.S. Allen F.C. Nichols III et al.2005 Etiology of Chylothorax in 203 Patients Mayo Clin Proc 80 867 870.

  • 3. A. Mallick A.R. Bodenham 2003 Disorders of the Lymph Circulation: Their Relevance to Anaesthesia and Intensive Care Br J Anaesth 91 265 272.

    • Search Google Scholar
    • Export Citation

  • 4. V. Buttiker S. Fanconi R. Burger 1999 Chylothorax in Children: Guidelines for Diagnosis and Management Chest 116 682 687.

  • 5. R.W. Light M.I. Macgregor P.C. Luchsinger et al.1972 Pleural Effusions: the Diagnostic Separation of Transudates and Exudates Ann Intern Med 77 507 513.

    • Search Google Scholar
    • Export Citation

  • 6. G.L. Jensen E.A. Mascioli L.P. Meyer et al.1989 Dietary Modification of Chyle Composition in Chylothorax Gastroenterology 97 761 765.

  • 7. Y.Q. You P.R. Ling J.Z. Qu et al.2008 Effects of Medium-Chain Triglycerides, Long-Chain Triglycerides, or 2-Monododecanoin on Fatty Acid Composition in the Portal Vein, Intestinal Lymph, and Systemic Circulation in Rats JPEN J Parenter Enteral Nutr 32 169 175.

    • Search Google Scholar
    • Export Citation

  • 8. N.J. Demos J. Kozel J.E. Scerbo 2001 Somatostatin in the Treatment of Chylothorax Chest 119 964 966.

  • 9. A. Mallick A.R. Bodenham 2003 Disorders of the Lymph Circulation: Their Relevance to Anaesthesia and Intensive Care Br J Anaesth 91 265 272.

    • Search Google Scholar
    • Export Citation

  • 10. M.C. Murphy B.M. Newman B.M. Rodgers 1989 Pleuroperitoneal Shunts in the Management of Persistent Chylothorax Ann Thorac Surg 48 195 200.

    • Search Google Scholar
    • Export Citation

  • 11. G. Stringel S. Mercer J. Bass 1984 Surgical Management of Persistent Postoperative Chylothorax in Children Can J Surg 27 543 546.

  • Collapse
  • Expand
Cover Interventional Medicine and Applied Science
Interventional Medicine and Applied Science
Print ISSN:
2061-1617
Online ISSN:
2061-5094

2019  
Scimago
H-index		 11
Scimago
Journal Rank		 0,220
Scimago
Quartile Score		 Medicine (miscellaneous) Q3
Scopus
Cite Score		 155/133=1,2
Scopus
Cite Score Rank		 General Medicine 199/529 (Q2)
Scopus
SNIP		 0,343
Scopus
Cites		 206
Scopus
Documents		 23

 

Interventional Medicine and Applied Science
Language English
Size  
Year of
Foundation		 2009
Publication
Programme		 changed title
Volumes
per Year		  
Issues
per Year		  
Founder Akadémiai Kiadó
Founder's
Address		 H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Publisher Akadémiai Kiadó
Publisher's
Address		 H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Responsible
Publisher		 Chief Executive Officer, Akadémiai Kiadó
ISSN 2061-1617 (Print)
ISSN 2061-5094 (Online)

Monthly Content Usage

Abstract Views Full Text Views PDF Downloads
Jun 2024 7 0 0
Jul 2024 7 0 0
Aug 2024 27 0 0
Sep 2024 40 0 0
Oct 2024 133 0 0
Nov 2024 30 0 0
Dec 2024 3 0 0