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Octreotide and Congenital Chylothorax. Case Report and Review of the Literature (Abstract)

Siddiqui MMF, Crabbe DCG

Department of Paediatric surgery, Clarendon Wing, Leeds General Infirmary, Leeds, UK.

 

Abstract

Objective: To report a newborn with a congenital chylothorax treated successfully with octreotide. To review the literature on the use of octreotide in congenital chylothorax.

Case Summary: Congenital chylothorax is a rare but potentially life threatening condition. We describe a premature baby with a congenital chylothorax associated with a persistent left sided superior vena cava which failed to respond to tube thoracostomy and parenteral nutrition. The pleural drainage diminished rapidly after starting Octreotide and surgery was avoided.

Conclusion: Octreotide is emerging as a safe, effective and noninvasive option for the treatment of congenital chylothorax.

 

Key words: chylothorax, Octreotide, Somatostatin, vena cava

 

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