Common Etiologies of Neonatal Pleural Effusion

Shih, Yueh-Ting; Su, Pen‐Hua; Chen, Jia-Yuh; Lee, Inn‐Chi; Hu, Jui-Ming; Chang, Hua-Pin

doi:10.1016/j.pedneo.2011.06.002

Cited by 33 publications

(25 citation statements)

References 18 publications

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“…resultar en hipoplasia pulmonar y presentar manifestaciones tempranas más graves, mientras que en etapa neonatal, se generan signos de dificultad respiratoria como taquipnea, retracciones y cianosis de intensidad leve a severa, sintomatología que presentó el paciente. Los hallazgos físicos, aunque de menor valor en el neonato que en los individuos de edad avanzada, incluyen disminución de los ruidos respiratorios y sonido mate a la percusión, estos hallazgos no fueron evidenciados en el paciente, por lo que el diagnóstico fue basado principalmente en los hallazgos imagenológicos 9,12 .…”

Section: Descripción De Casounclassified

“…Existen dos grandes grupos etiológicos, el quilotórax congénito y el adquirido. El congénito esta dado por causas idiopáticas, siendo fetos y neonatos los grupos etáreos más relevantes 4,9,10,11,12 . El de origen adquirido, es secundario a complicaciones de cirugías cardiotorácicas o hace parte de un síndrome clínico específico (Ver Tabla 1).…”

Section: Introductionunclassified

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Recién nacido pretérmino con quilotórax congénito bilateral, una entidad infrecuente que amenaza la vida

Aguilar-López

Rodríguez-Moncada

Díaz-Díaz

et al. 2017

revmed

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médicas uis revista de los estudiantes de medicina de la universidad industrial de santander RESUMENEl quilotórax corresponde a la acumulación de linfa en el espacio pleural. El diagnóstico se confirma por la presencia de quilomicrones en el líquido pleural, sin embargo en la práctica clínica se utilizan los criterios de Büttiker, para establecer el diagnóstico. El objetivo de esta publicación es presentar el caso de un recién nacido con quilotórax congénito bilateral, realizando una revisión actualizada del tema, que incentive la recolección de datos y la generación de guías nacionales para su abordaje estandarizado. Se trató de un recién nacido pretérmino, quien tras parto por cesárea presentó síndrome de distrés respiratorio, ameritó terapia temprana de surfactante logrando retiro de ventilación mecánica al día de vida, con posterior presentación de signos de dificultad respiratoria y hallazgo radiológico y ecográfico de derrame pleural bilateral. Se realizó toracentesis con citoquímico compatible con quilotórax. Nuevamente ameritó soporte ventilatorio invasivo, toracostomía cerrada bilateral y nutrición parenteral, con posterior evolución clínica satisfactoria. Preterm newborn with bilateral congenital chylothorax, a rare life-threatening entity ABSTRACTChylothorax refers to the accumulation of lymphatic fluid in the pleural space. Diagnosis is confirmed by the presence of chylomicrons in the pleural fluid, however in clinical practice Büttiker criteria are widely used. The aim of this publication is to present the case of a newborn with bilateral congenital chylothorax with an updated review of the literature that encourages data collection and generation of national guidelines for standardized approach. This was a newborn preterm, who after a cesarean delivery presented respiratory distress syndrome who required early surfactant therapy achieving withdrawal of mechanical ventilation on his first day, with subsequent presentation of signs of respiratory distress, and a radiological and ultrasound finding of bilateral pleural effusion. Thoracentesis was performed obtaining cytochemical compatible with chylothorax. Again required invasive ventilatory support, closed bilateral thoracostomy and parenteral nutrition, with a satisfactory clinical course. MÉD.UIS. 2017;30(1):87-92.

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Section: Descripción De Casounclassified

Section: Introductionunclassified

Recién nacido pretérmino con quilotórax congénito bilateral, una entidad infrecuente que amenaza la vida

Aguilar-López

Rodríguez-Moncada

Díaz-Díaz

et al. 2017

revmed

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“…Chylothorax is characterized by a milky, yellow appearance, rich cellularity, an increased number of lymphocytes, and increased levels of chylomicrons and triglycerides after the initiation of enteral feeding. 2,10,12 The treatment of neonatal chylothorax involves eva cuation of the substantial effusion, pleural drainage and ini tia tion of a special diet to prevent chylothorax recurrence. Special products containing medium-chain triglycerides are used, as they are absorbed directly from the bowel, without going through the chylomicrons.…”

Section: 5005/jp-journals-10009-1357mentioning

confidence: 99%

“…Special products containing medium-chain triglycerides are used, as they are absorbed directly from the bowel, without going through the chylomicrons. 2,10,12,18 CASe RePoRT…”

Section: 5005/jp-journals-10009-1357mentioning

confidence: 99%

Congenital Chylothorax: Diagnosis Problems

Hășmășanu¹,

Zaharie²,

Matyas³

et al. 2014

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Fetal pleural effusion is most frequently a marker of chylothorax. It is usually unilateral and frequently located on the right side, due to the anatomical position of the thoracic duct. Fetal hydro thorax can be either primary or secondary to chromosomal, cardio vascular, hematologic, liver or metabolic diseases, con genital infections and skeletal dysplasia, or placenta or cord abnormalities.Congenital chylothorax in the newborn can be associated with symptoms of severe respiratory distress, requiring rapid evacuation and respiratory support. In chylothorax, the appea rance of the fluid is milky, yellowish, with a high cell count and increased level of triglycerides.The treatment of neonatal chylothorax involves removal of substantial effusion, pleural drainage and initiation of a special diet to limit chylothorax fluid restoration.This paper presents the case of a premature newborn at a gestational age of 36 weeks, with fetal hydrothorax, which was diagnosed in utero at 28 weeks of pregnancy. After the initial resorption of the pleural effusion, it restored in parallel with the increasing quantity of ingested breast milk.

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“…Fetal pleural effusion is a rare condition, with a reported incidence ranging from 1/10,000 to 1/15,000 (2-4). The incidence of fetal pleural effusion in newborns ranges from 2.2 to 5.5 per 1,000 births (5). The underlying causes of fetal pleural effusion are still unclear; it can occur as an initial symptom of hydrops fetalis, but it can also occur in isolation (6).…”

Section: Introductionmentioning

confidence: 99%