Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com
Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
Chylothorax is the accumulation of lymphatic fluid in the pleural space. Abruptly elevated venous pressure during delivery can lead to thoracic duct rupture which leads to intrapleural accumulation of lymph fluid. Initially the fluid is serous, but turns chylous after milk feedings. This is the most frequent cause of a large pleural effusion in newborn. It is rarely bilateral, and is rarely associated with generalized lymphangiomatosis. It is diagnosed and usually managed successfully via thoracenteses.
Usually unilateral and usually on right side (60%). It is difficult to find the exact site of lymph extravasation with contrast studies.
See References Chapter.
Section Top | Title Page
Please send us comments by filling out our Comment Form.
All contents copyright © 1992-2017 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.
"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.
Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.
Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.
The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.