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language
eng
Author
SHIRAKAMI, Eri Division of Plastic and Reconstructive Surgery, Shimane University Faculty of Medicine, Izumo, Shimane, Japan.
Description
Rationale: Chylothorax remains a poorly understood phenomenon, and no optimal treatment or guidelines have been established. This is the first report of treating congenital chylothorax and lymphedema in a low-birth-weight infant by lymphovenous anastomosis (LVA).

Patient concerns: We report a case of successful LVA for persistent congenital chylothorax and lymphedema resistant to other conservative therapies.

Diagnosis: The diagnosis of chylothorax was confirmed by the predominance of lymphocytes in the pleural fluid draining from the chest tube. In addition, the infant developed oliguria and generalized lymphedema.

Interventions: LVA under local anesthesia combined with light sedation was performed at his medial thighs and left upper arm.

Outcomes: Although his subcutaneous edema markedly improved, the decrease in chest tube drainage was gradual. No additional treatment was required.

Lessons: LVA is of considerable value as a surgical treatment option in the setting of persistent congenital chylothorax and lymphedema, because LVA is a less invasive procedure.
Journal Title
Medicine (Baltimore)
Volume
98
Issue
43
ISSN
0025-7974
ISSN(Online)
1536-5964
Published Date
2019-10
DOI
PubMed ID
Publisher
Hagerstown, Md : Lippincott Williams & Wilkins
NII Type
Journal Article
Format
PDF
Relation
Text Version
著者版
Gyoseki ID
e38397
OAI-PMH Set
Faculty of Medicine