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Pediatric Surgery pp 1–15Cite as

Chylothorax and Other Pleural Effusions in Neonates

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Abstract

Pleural effusion is a general term for the accumulation of fluid in the pleural space. Chylothorax results from the leakage of chyle from the thoracic duct into the pleural cavity and may occur spontaneously, traumatic, iatrogenic, or as malignant infiltration. Whether congenital or acquired, chylothorax frequently resolves with nonoperative measures aimed at optimizing ventilation and maintenance of nutrition. Surgical options such as pleuroperitoneal shunting, thoracic duct ligation, pleurodesis, pleurectomy, and intrapleural fibrin glue can be chosen for severe and persistent cases.

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Acknowledgment

The author wishes to acknowledge the assistance of Aliza P. Cohen, MA, in the writing of this chapter.

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  1. Children’s Hospital & Medical Center, University of Nebraska College of Medicine, Omaha, NE, 68114, USA

    Richard G. Azizkhan

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  1. Our Lady’s Children's Hospital, National Children’s Research Centre, Dublin, Ireland

    Prem Puri

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Azizkhan, R.G. (2017). Chylothorax and Other Pleural Effusions in Neonates. In: Puri, P. (eds) Pediatric Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38482-0_55-1

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    Chylothorax and Other Pleural Effusions in Neonates
    Published:
    26 February 2019

    DOI: https://doi.org/10.1007/978-3-642-38482-0_55-2

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    Chylothorax and Other Pleural Effusions in Neonates
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    DOI: https://doi.org/10.1007/978-3-642-38482-0_55-1

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