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Successful treatment of congenital chylothorax with skimmed milk and long course octreotide.

Research paper by Tanushree T Sahoo, Mukul Kumar MK Mangla, Amanpreet A Sethi, Anu A Thukral

Indexed on: 21 Dec '18Published on: 21 Dec '18Published in: BMJ case reports



Abstract

Congenital chylothorax (CC) is a rare entity in neonatal period requiring multimodal management strategies. Despite optimum treatment, some cases remain refractory posing significant challenge to the treating physician. We here describe a 33-week preterm neonate presenting with refractory congenital chylothorax who needed treatment with combination of skimmed milk, high dose and prolonged duration octreotide for resolution. This case highlighted that octreotide has a good safety profile in newborn infants with congenital chylothorax and locally available skimmed milk fortified with medium chain triglyceride (MCT) oil is a cheap and safe alternative. © BMJ Publishing Group Limited 2018. No commercial re-use. See rights and permissions. Published by BMJ.