Perinatology.  2021 Mar;32(1):31-35. 10.14734/PN.2021.32.1.31.

Successful Treatment of Intractable Chylo thorax with Povidone-Iodine Pleurodesis in Extremely Preterm Infant

Affiliations
  • 1Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea

Abstract

Chylothorax is pleural collection of fluid formed by the escape of chyle from the thoracic duct or lymphatics into the thoracic cavity. In children, it frequently occurs after thoracic duct injury as a complication of cardiothoracic surgery. It can be treated with enteral feedings with a low-fat or medium-chain triglyceride, high-protein diet, and total parenteral nutrition. Somatostatin and octreotide have been used in advanced cases and surgical treatment could be considered including a pleuroperitoneal shunt, thoracic duct ligation, and pleurodesis with sclerosing agent such as tetracyclin, bleomycin, OK-432, talc, or iodopovidone. We report a case of preterm infant with 24 +4 weeks of gestation who developed chylothorax after ligation of patent ductus arteriosus. The chylothorax was intractable to any medical and conservative treatments but was treated successfully by pleurodesis with 3.4% povidone-iodine without complications.

Keyword

Chylothorax; Infant; Pleurodesis; Povidone-iodine; Premature
Full Text Links
  • PN
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