Virtual Pediatric Hospital(tm) : A digital library of pediatric information

Home | About | FAQ | Reviews | Search

Virtual Pediatric Hospital: Paediapaedia: Chylothorax Paediapaedia: Neonatal Chest Diseases


Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed

Clinical Presentation:
Respiratory distress. Fifty percent present in first 24 hours of life, and 70% present within one week of birth.

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.

Not applicable

Imaging Findings:
Usually unilateral and usually on right side (60%). icon gif It is difficult to find the exact site of lymph extravasation with contrast studies.


See References Chapter.

Section Top | Title Page

Additional pediatric resources: | Facebook iconTwitter iconRSS icon |

Follow us on Twitter @pedseducationTwitter icon and @pedsimagingTwitter icon and Facebook @pedsimagingFacebook icon and Instagram @pedsimagingInstagram icon

About Us | FAQ | Reviews | Contact Us | Search

Virtual Pediatric Hospital is curated by Donna M. D'Alessandro, M.D. and by Michael P. D'Alessandro, M.D.

Please send us comments by filling out our Comment Form.

All contents copyright © 1992-2016 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.