Citation, DOI, disclosures and article data
Citation:
Venkatesh M, Bell D, Kang O, et al. Fetal chylothorax. Reference article, Radiopaedia.org (Accessed on 20 Apr 2024) https://doi.org/10.53347/rID-25866
Fetal chylothorax is defined as the presence of lymphatic fluid within the pleural cavity of the fetus.
Pathology
Associations
Radiographic features
Antenatal ultrasound
- may show echogenic fluid in the pleural cavities
Treatment
Some of the describe management options include:
- in-utero pleuro amniotic shunt
- pleurocentesis
- pleural drainage after birth
- pleurodesis
- intrapleural injection of OK-432
See also
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1. Dendale J, Comet P, Amram D et-al. [Prenatal diagnosis of chylothorax]. Arch Pediatr. 1999;6 (8): 867-71. Pubmed citation
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2. Jorgensen C, Brocks V, Bang J et-al. Treatment of severe fetal chylothorax associated with pronounced hydrops with intrapleural injection of OK-432. Ultrasound Obstet Gynecol. 2003;21 (1): 66-9. doi:10.1002/uog.23 - Pubmed citation
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3. Rempen A, Dame W, Jorch G et-al. [Prenatal diagnosis and therapy of hydro-/chylothorax with fetal hydrops]. Z Geburtshilfe Perinatol. 1984;188 (2): 90-3. Pubmed citation
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4. Bellini C, Ergaz Z, Radicioni M et-al. Congenital fetal and neonatal visceral chylous effusions: neonatal chylothorax and chylous ascites revisited. A multicenter retrospective study. Lymphology. 2013;45 (3): 91-102. Pubmed citation
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5 . Lo TK, Lau WL, Lam YY et-al. Successful treatment of severe fetal chylothorax resistant to repeated pleuroamniotic shunting by OK-432 pleurodesis. Fetal. Diagn. Ther. 2012;31 (4): 260-3. doi:10.1159/000336125 - Pubmed citation
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