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BMJ Case Rep. 2010; 2010: bcr06.2009.1950.
Published online 2010 May 19. doi:  10.1136/bcr.06.2009.1950
PMCID: PMC3052838
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Idiopathic congenital chylothorax treated with octreotide

Abstract

Idiopathic congenital chylothorax is defined as an abnormal accumulation of lymphatic fluid within the pleural space and is a relatively rare condition. It is a cause of progressive respiratory distress with nutritional and immunological consequences. Treatment of congenital chylothorax has been conservative management and cases unresponsive usually require surgery. We report a case of idiopathic congenital chylothorax treated with octreotide (a somatostatin analogue), avoiding surgery after failed conservative medical treatment. The patient promptly improved after initiation of endovenous octreotide treatment (10 µg/kg/h) with no observed side effects.


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