Idiopathic congenital chylothorax treated with octreotide | Zendy

P Sousa | Zendy; H. Leitão | Zendy; M. C. Camacho | Zendy; José Luis Nunes | Zendy

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Idiopathic congenital chylothorax treated with octreotide

Author(s) -

P Sousa,

H. Leitão,

M. C. Camacho,

José Luis Nunes

Publication year - 2010

Publication title -

bmj case reports

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.231

H-Index - 26

ISSN - 1757-790X

DOI - 10.1136/bcr.06.2009.1950

Subject(s) - medicine , chylothorax , octreotide , respiratory distress , conservative treatment , surgery , somatostatin , lymphatic system , pathology

Idiopathic congenital chylothorax is defined as an abnormal accumulation of lymphatic fluid within the pleural space and is a relatively rare condition. It is a cause of progressive respiratory distress with nutritional and immunological consequences. Treatment of congenital chylothorax has been conservative management and cases unresponsive usually require surgery. We report a case of idiopathic congenital chylothorax treated with octreotide (a somatostatin analogue), avoiding surgery after failed conservative medical treatment. The patient promptly improved after initiation of endovenous octreotide treatment (10 µg/kg/h) with no observed side effects.

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