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Chylothorax associated with child abuse
Author(s) -
Ichikawa Yasuhiro,
Sato Atsuo,
Sato Kodai,
Nakamura Kaori,
Kitagawa Norihiko,
Tanoue Koji,
Shiro Hiroyuki
Publication year - 2015
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.12707
Subject(s) - medicine , chylothorax , decompensation , child abuse , physical abuse , pediatrics , surgery , poison control , injury prevention , emergency medicine
We report a case of right chylothorax associated with physical abuse in a 10‐month‐old boy who presented with respiratory decompensation. Chylothorax was improved by thoracic drainage and nutrition management, such as fasting followed by medium‐chain triglyceride milk. Chest computed tomography on admission showed bilateral old rib fractures. Accordingly, physical abuse was suspected. Chylothorax of unknown cause in infancy, especially in those with coexisting rib fractures, must be scrutinized for child abuse.