Neonatal Med.  2019 Nov;26(4):233-239. 10.5385/nm.2019.26.4.233.

Povidone-Iodine Pleurodesis for Chylothorax in an Extremely Low Birth Weight Infant

Affiliations
  • 1Department of Pediatrics, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Korea.
  • 2Department of Pediatrics, National Health Insurance Service Ilsan Hospital, Goyang, Korea. swyoon@nhimc.or.kr

Abstract

Chylothorax, the accumulation of chyle in the pleural space, is a rare condition, but can lead to serious complications in neonates. Conservative therapy for chylothorax includes enteral feeding with medium-chain triglyceride-enriched diet or parenteral nutrition and administration of octreotide. Surgical management is considered in cases where there is no response to conservative therapy; however, the standardized approach to refractory neonatal chylothorax is still controversial. Chemical pleurodesis can be used when medical therapies for chylothorax fail, to avoid more invasive surgical procedures. We report an extremely preterm infant born at 26 weeks of gestation with refractory chylothorax after patent ductus arteriosus ligation. The infant was successfully treated with pleurodesis using 4% povidone-iodine, without long-term side effects.

Keyword

Chylothorax; Pleurodesis; Povidone-iodine; Infant, premature

MeSH Terms

Chyle
Chylothorax*
Diet
Ductus Arteriosus, Patent
Enteral Nutrition
Humans
Infant
Infant, Extremely Low Birth Weight*
Infant, Extremely Premature
Infant, Newborn
Infant, Premature
Ligation
Octreotide
Parenteral Nutrition
Pleurodesis*
Povidone-Iodine*
Pregnancy
Octreotide
Povidone-Iodine
Full Text Links
  • NM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2022 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr