All issues > Volume 26(4); 1983

Case Report

J Korean Pediatr Soc. 1983;26(4):380-385. Published online April 30, 1983.

A Case of Neonatal Chylothorax.

Hyung Taek Ohm¹, Hea Sook Kim¹, Myong Sook Lee¹, Sang II Lee¹, Sang wook Kim¹

¹Department of Pediatrics, Inje Medical College Paik Hospital, Seoul,Korea

Abstract

We experienced a case of chylothorax in a 23-days-old female who was admitted to the department of pediatrics because of respiratory difficulty and poor feeding. She was born by full-term, vacuum-extractedl The 2nd stage of labor was prolorged and umbilical cord was encircled her neck at birth. Chest P-A showed massive effusion of the right lung. Milky white fluid was obtained from thoracentesis. It was odorless, sterile on bacterial examination and cleared by alkali and ether. Fat globules were found on Sudan H stain and chylous effusion was diagnosed. She was managed by repeated thoracentesis (8 times), MCT diets and intravenous hyperalime- ntation. She was discharged on 36th hospital day with good response. Related literature was briefly reviewed.

Keywords :Chylothorax; Birth trauma.