A case report of infant with Chylothorax

Abstract

Background: Chylothorax is rare in infancy. It may be iatrogenic or congenital. That is caused by escape of lymph into the pleural space. Case: This is a girl born to a 30-year-old mother by cesarean section. At the age of 7 days, she was admitted to Amirkola children hospital for RDS and cyanosis. Chest X-ray showed a diffuse radio-opacity on the right parts of thorax and a slight shift of heart and mediastinum to left. There was a copius milky pleural fluid in puncture, and chyle (Presence of lymph) was confirmed. After insertion of a chest tube, fluid puncture and feeding the baby with MCT, fluid discharge stopped. After 2 months we gradually replaced MCT with breast milk. The infant is now living without any symptoms.

Keywords

• chylothorax
• infant
• congenital
• iatrogenic