Abstract:
RATIONALE:Chylothorax remains a poorly understood phenomenon, and no optimal treatment or guidelines have been established. This is the first report of treating congenital chylothorax and lymphedema in a low-birth-weight infant by lymphovenous anastomosis (LVA). PATIENT CONCERNS:We report a case of successful LVA for persistent congenital chylothorax and lymphedema resistant to other conservative therapies. DIAGNOSIS:The diagnosis of chylothorax was confirmed by the predominance of lymphocytes in the pleural fluid draining from the chest tube. In addition, the infant developed oliguria and generalized lymphedema. INTERVENTIONS:LVA under local anesthesia combined with light sedation was performed at his medial thighs and left upper arm. OUTCOMES:Although his subcutaneous edema markedly improved, the decrease in chest tube drainage was gradual. No additional treatment was required. LESSONS:LVA is of considerable value as a surgical treatment option in the setting of persistent congenital chylothorax and lymphedema, because LVA is a less invasive procedure.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Hayashida K,Yamakawa S,Shirakami Edoi
10.1097/MD.0000000000017575subject
Has Abstractpub_date
2019-10-01 00:00:00pages
e17575issue
43eissn
0025-7974issn
1536-5964pii
00005792-201910250-00028journal_volume
98pub_type
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