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chylothorax/ödem
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Congenital chylothorax with hydrops: postnatal care and outcome following antenatal diagnosis.
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We consecutively managed 25 cases of fetal chylothorax with hydrops (pleuroamniotic shunting in 20/25 cases). Three of the 16 liveborn infants died before day 5 from malformations (n = 1) or complications of antenatal origin (n = 2). Eleven of the 13 survivors were treated in our unit. Four infants
Hennekam syndrome presenting as nonimmune hydrops fetalis, congenital chylothorax, and congenital pulmonary lymphangiectasia.
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We report a female infant with congenital lymphedema, facial anomalies, intestinal lymphangiectasia consistent with a diagnosis of Hennekam syndrome. At birth the patient presented with severe respiratory distress due to nonimmune hydrops fetalis, a congenital chylothorax (CC), and pulmonary
Congenital chylothorax presenting as hydrops fetalis. A case report.
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A case of congenital chylothorax presented as polyhydramnios and massive fetal edema. The diagnosis was suspected prior to delivery on the basis of ultrasonography. Ultrasound was helpful in localizing the fluid for postnatal thoracentesis. Congenital chylothorax is part of the differential
Treatment of severe fetal chylothorax associated with pronounced hydrops with intrapleural injection of OK-432.
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We describe a case of a 25-week fetus with severe bilateral pleural effusion, marked ascites, skin edema, an anterior thick (hydropic) placenta and polyhydramnios in which the most probable diagnosis was congenital chylothorax. Treatment with a pleuroamniotic shunt was planned, however the location
Detection of chylothorax and cervical cystic hygroma in hydrops fetalis using lymphoscintigraphy.
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A 2-month-old boy was diagnosed as having nonimmune hydrops fetalis. Lymphoscintigraphy of the lower extremities revealed accumulation of radiotracer in the middle mediastinum on both sides indicating leakage of lymphatic flow from the thoracic duct at 1 hour. There was visualization of radiotracer
Multimodal imaging in the congenital pulmonary lymphangiectasia-congenital chylothorax-hydrops fetalis continuum.
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We report on three infants with congenital chylothorax (CC) and congenital pulmonary lymphangiectasia (CPL). CPL appears to be a characteristic pathological finding in CC. Through the use of lymphoscintigraphy and computed tomography, this study suggests that CC and CPL are strongly correlated
Lymphangiopathy in neurofibromatosis 1 manifesting with chylothorax, pericardial effusion, and leg edema.
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BACKGROUND
This case report documents the affliction of the lymph vessels as a phenotypic feature of neurofibromatosis-1 (NF-1).
METHODS
Routine transthoracic echocardiography, computed tomography scan of the thorax, magnetic resonance angiography of the renal arteries, and conventional digital
Familial congenital non-immune hydrops, chylothorax, and pulmonary lymphangiectasia.
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Pulmonary lymphangiectasia is an uncommon congenital anomaly, and familial occurrence has rarely been reported. We report on two sibs with bilateral pleural effusion/chylothorax and hydrops who died neonatally. One sib required prenatal intrauterine hemithoracic drainage. Autopsy confirmed
[Prenatal diagnosis and therapy of hydro-/chylothorax with fetal hydrops].
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The prenatal diagnosis of a massive bilateral hydro-/chylothorax at 34 weeks of gestation is presented. It was associated with a marked hydrops which probably had resulted from protein depletion into the pleural cavity and/or elevation of intrathoracic pressure with subsequent obstruction of venous
[Acute non-immunologic hydrops fetalis with bilateral chylothorax in the 36th week of pregnancy].
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Since the introduction of anti-D gamma-globulin prophylaxis non-immune hydrops fetalis (NIHF) has become the relevant and more common form of fetal hydrops. A case of an NIHF with chylothorax, diagnosed in the 36th week of pregnancy, is discussed with regard to obstetrical and neonatological
Management of acute chylothorax with hydrops fetalis diagnosed in the third trimester of pregnancy.
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A fetus with large pleural effusion and hydrops fetalis diagnosed in the third trimester was successfully treated with prompt vaginal delivery followed by drainage of the pleural cavity, after confirmation of congenital chylothorax and re-expansion of the lung with prenatal thoracentesis.
Antenatal treatment of chylothorax and cystic hygroma with OK-432 in nonimmune hydrops fetalis.
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OBJECTIVE
To present our experience of using OK-432 in treating fetal cystic hygroma and chylothorax complicated with nonimmune hydrops fetalis.
METHODS
OK-432 (Picibanil) was injected into the fetal pleural cavity or fetal cystic hygroma.
RESULTS
Patient 1: A 23-year-old, gravida 2, para 1, was
Idiopathic congenital chylothorax presented with severe hydrops and treated with octreotide in term newborn.
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Chylothorax is a relatively uncommon condition defined as an abnormal collection of lymphatic fluid within the pleural space. Morbidity of congenital chylothorax (CC) is high, and prognosis is very poor if chylothorax is associated with hydrops fetalis. The optimal treatment of CC has not been
A rare cause of chylothorax and lymph edema.
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Chylothorax is a form of pleural effusion rarely caused by metastasis of solid tumors. Because chylothorax causes complaints by local compression of the lung, as well as weight loss resulting from loss of triglycerides, it needs thorough investigation. We present the case of gastric carcinoma
Chylothorax and re-expansion pulmonary edema following myocardial re-vascularization: role of lymph vessel insufficiency.
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Chylothorax is a rare complication following coronary artery bypass graft surgery. In the following case, we report a chylothorax complicating left internal mammary artery harvesting due to injury of the left anterior mediastinal lymph node chain (LAMLNC) at the level of the proximal pedicle of the
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