Korean J Obstet Gynecol.  2011 Feb;54(2):99-102. 10.5468/KJOG.2011.54.2.99.

Cesarean delivery with postnatal high-frequency ventilation immediately after thoracocentesis for a fetus with intractable congenital chylothorax

• Kim GJ
• Lee ES

• KMID: 2037498
• DOI: http://doi.org/10.5468/KJOG.2011.54.2.99

Abstract

We experienced a case of fetus with congenital chylothorax who treated with thoracocentesis immediately followed by cesarean delivery with high frequency ventilation therapy after treatment failure by serial thoracocentesis and pleurodesis with OK-432. This approach achieved an effective control. So we suggest that cesarean delivery along with postnatal high-frequency ventilation immediately after thoracocentesis can be considered in a fetus with intractable congenital chylothorax.

Keyword

Chylothorax; Thoracocentesis; OK-432

MeSH Terms

Chylothorax
Fetus
High-Frequency Ventilation
Picibanil
Pleurodesis
Treatment Failure
Picibanil

Figure

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  Fig. 1 Fetal ultrasonography showing bilateral pleural effusion and skin edema.

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  Fig. 2 After intrapleural injection of OK-432 at 32+2 weeks of gestation. No residual intrathoracic fluid was observed.

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  Fig. 3 Chest X-ray image of the neonate at birth.

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