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  • 1 Institute of Pediatrics, University of Debrecen, Medical & Health Science Centre, Debrecen, Hungary
  • | 2 Department of Surgery, Thoracic Surgery Unit, University of Debrecen, Medical & Health Science Center, Debrecen, Hungary
  • | 3 Institute of Pediatrics, University of Debrecen, Medical & Health Science Center, Nagyerdei krt. 98, H-4012, Debrecen, Hungary
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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.

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

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  • 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.

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  • 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.

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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)

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