Congenital Unilateral Chylothorax in a Non-immune Hydropic Newborn with Down Syndrome
Baran Serdar Kizilyildiz, Kamuran Karaman, Bülent Sönmez, Burhan Beger
International Journal of Medical and Pharmaceutical Case Reports · pp. 1–5 · Published 16 Jul 2015
10.9734/IJMPCR/2015/19624Abstract
Chylothorax is defined as accumulation of lymph within the pleural space. It is the most common cause of pleural effusion causing respiratory distress in the first few days of life. Congenital chylothorax and Down syndrome are independently have been found in association with non-immune hydrops fetalis. On the other hand, these entities can seen together. The treatment of congenital chylothorax generally based on cessation of enteral feeding, initiation of total parenteral nutrition and introduction of medium chain triglycerides. Surgical intervention should be encountered when medical therapy fails. We present a hydropic newborn with Down syndrome and chylothorax who was successfully treated by chest drainage and conservative treatment.
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