Successful treatment of congenital chylothorax with skimmed milk and long course octreotide. Issue 1 (3rd December 2018)

• Record Type: Journal Article
• Authors: Sahoo, Tanushree; Mangla, Mukul Kumar; Sethi, Amanpreet; Thukral, Anu
• Is Part Of: BMJ case reports. Volume 11:Issue 1(2018)
• Publication Date: 2018-12-03
• Subjects: Nutrition -- Lipid Disorders -- Drugs: Gastrointestinal System -- Neonatal Intensive Care; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2018-226347
• Languages: English
• ISSNs: 1757-790X

Abstract

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.