Bilateral spontaneous chylothorax in a newborn and response to octreotide therapy

Md. Nawad Azam; Subrat Kumar Majhi; Baikuntha Narayan Mishra; Ranjit Kumar Joshi; Prabin Prakash Pahi

doi:10.18203/2349-3291.ijcp20170727

Authors

Md. Nawad Azam Department of Pediatrics and Neonatology, AMRI Hospital, Bhubaneswar, Odisha, India
Subrat Kumar Majhi Department of Pediatrics and Neonatology, AMRI Hospital, Bhubaneswar, Odisha, India
Baikuntha Narayan Mishra Department of Pediatrics and Neonatology, AMRI Hospital, Bhubaneswar, Odisha, India
Ranjit Kumar Joshi Department of Pediatrics and Neonatology, AMRI Hospital, Bhubaneswar, Odisha, India
Prabin Prakash Pahi Department of Pediatrics and Neonatology, AMRI Hospital, Bhubaneswar, Odisha, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20170727

Keywords:

Chylothorax, Octreotide, Total parenteral nutrition

Abstract

Chylothorax is an abnormal collection of milky white fluid called chyle in pleural space, and is an uncommon cause of respiratory distress in neonates. There is high morbidity and mortality, if not managed appropriately. Here we report a rare case of congenital bilateral chylothorax presented with respiratory distress in our NICU on day one of life. Thoracocentes revealed chyle on both the sides. In view of high drainage of chylous fluid, besides TPN, Octreotide infusion started and the baby responded well.

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