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Recurrent Congenital Chylothorax: A Case Report | OMICS International | Abstract
ISSN: 2167-0897

Journal of Neonatal Biology
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Case Report

Recurrent Congenital Chylothorax: A Case Report

Diana Martins1*, Rui Marques De Carvalho1, Miguel Branco2, Maria Antonieta Melo1 and Luis Mendes Da Graça1
1Clínica University of Obstetrics and Gynecology, Faculty of Medicine of Lisbon daUniversidade, CHLN-University Hospital of Santa Maria, CAM-Academic MedicalCenter of Lisbon, Portugal
2Bissaya Barreto Maternity, Prenatal Diagnosis Center, Hospital of Coimbra, Portugal
Corresponding Author : Prof. Diana Martins
Egas Moniz, 1649-035 Lisboa
Portugal
Tel: +351 217805578
Fax: +351 217805621
E-Mail: [email protected]
ReceivedJune 01, 2014; Accepted July 29, 2014;PublishedAugust 02, 2014
Citation: Martins D, De Carvalho RM, Branco M, Melo MA, Da Graça ML (2014) Recurrent Congenital Chylothorax: A Case Report. J Neonatal Biol 3:155 doi:10.4172/2167-0897.1000155
Copyright: © 2014 Martins et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

We report a case of fetal chylothorax and hydrops. Chylothorax is a very rare condition, occurring in approximately 1 in 10000-15000 pregnancies, with an overall mortality rate of 25% to 50%. It is the most common form of pleural effusion in the prenatal period. Available treatments include thoracocentesis, pleuro-amniotic shunting and pleurodesis and the optimal antenatal management and timing are still controversial. We report a case diagnosed at 30 weeks' gestation that was submitted to bilateral pleural-amniotic shunt, but turned in to increased bilateral pleural effusion, generalized hydrops and polyhydramnios. Attempted intervention allowed to achieve good obstetric outcome No etiology was found, revealing the diagnostic challenge this entity can be.

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