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Congenital chylothorax: what is the best strategy?
  1. D Mitanchez1,
  2. E Walter-Nicolet1,
  3. R Salomon1,
  4. F Bavoux2,
  5. P Hubert3
  1. 1Departement de Pédiatrie, Hôpital Necker-Enfants Malades, Paris, France
  2. 2Unité de Pharmacovigilance, Hôpital Saint Vincent de Paul, Paris, France
  3. 3Departement de Pédiatrie, Hôpital Necker-Enfants Malades, Paris, France
  1. Correspondence to:
    Dr Delphine Mitanchez
    Service de Réanimation Pédiatrique et Néonatale, Hôpital Necker-Enfants Malades, 149 rue de Sèvres, 75015 Paris, France; delphine.mitanchez{at}nck.ap-hop-paris.fr

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Chemical pleurodesis with povidone-iodine has recently been proposed in persistent congenital chylothorax as an alternative method to surgery.1 We report the case of a neonate treated by povidone-iodine pleurodesis who developed shock and chronic renal failure.

A bilateral chylothorax with fetal hydrops was diagnosed in a foetus at 34 weeks. Bilateral pleuroamniotic tubes were inserted and maintained until birth at 35 weeks gestation. The 3040 g female infant presented with respiratory distress. A bilateral pleural effusion rapidly re-occurred necessitating total parenteral nutrition and …

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