Congenital Chylothorax in a Newborn with Down Syndrome
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Case Report
VOLUME: 55 ISSUE: 1
P: 74 - 77
March 2017

Congenital Chylothorax in a Newborn with Down Syndrome

Med Bull Haseki 2017;55(1):74-77
1. Dr. Sami Ulus Kadın Doğum Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesi, Yenidoğan Kliniği, Ankara, Türkiye
2. Dr. Sami Ulus Kadın Doğum Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesi, Çocuk Cerrahisi Kliniği, Ankara, Türkiye
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Received Date: 22.12.2015
Accepted Date: 28.03.2016
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ABSTRACT

In the neonatal period, the most common cause of pleural effusion is idiopathic congenital chylothorax. Congenital chylothorax is rarely associated with chromosomal abnormalities, such as Down, Turner and Noonan syndromes. The diagnosis can be made after analysis of the pleural fluid drained by thoracentesis or chest tube placement. During the neonatal period, chylothorax treatment is composed of conservative and surgical therapies. Nowadays, for cases among which conservative therapies fail, treatment with octreotide has been reported to be beneficial with promising results. In this report, a case of congenital chylothorax, in a newborn with Down syndrome, treated by octreotide after failure of chest tube drainage and medical treatment (total parenteral nutrition and medium chain fatty acid formula) is presented.

Keywords:
Newborn, congenital chylothorax, Down syndrome, octreotide