[Chylous effusion and surgical treatment of diaphragmatic hernia in 2 newborn infants]. / Epanchement chyleux après cure chirurgicale d'une hernie diaphragmatique chez 2 nouveau-nés.
Arch Fr Pediatr
; 50(9): 783-6, 1993 Nov.
Article
en Fr
| MEDLINE
| ID: mdl-8060209
BACKGROUND. Post-operative chylous effusion is rare in infants. It may result from venous thrombosis, thoracic duct injury or lymphatic vessel obstruction. This paper describes 2 cases of diaphragm hernia with post-operative chylous effusion. CASE REPORTS Case 1: A newborn developed chylous ascites two weeks after repair of a left posterolateral diaphragm hernia. Abdominal paracentesis showed milky fluid containing numerous lymphocytes (98%). Ascites was rapidly reduced by feeding with medium-chain triglyceride-rich (MCT) formula. Case 2: A chylothorax was seen 7 days after surgery to repair a left posterolateral diaphragm hernia. Thoracocentesis showed serous fluid containing numerous lymphocytes (93%). The chylothorax was resolved after two thoracocenteses, parenteral nutrition and feeding with MCT formula. CONCLUSION. These cases are the third report of chylothorax and the second report of chylous ascites after surgical repair of a diaphragm hernia. The exact cause of the chylous effusion is not clear.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
/
Ascitis Quilosa
/
Quilotórax
/
Hernia Diafragmática
Límite:
Female
/
Humans
/
Male
/
Newborn
Idioma:
Fr
Revista:
Arch Fr Pediatr
Año:
1993
Tipo del documento:
Article
Pais de publicación:
Francia