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Idiopathic congenital chylothorax treated with octreotide
  1. Paulo Rego Sousa1,
  2. Henrique Leitão2,
  3. Maria Carmo Camacho2,
  4. José Luis Nunes2
  1. 1Hospital Central do Funchal, Rua da Rochinha, Rochinha Village, N° 109-casa B, Funchal, 9060-280, Portugal
  2. 2Hospital Central do Funchal, Avenida Luís de Camões, Funchal, 9000, Portugal
  1. Correspondence to Paulo Rego Sousa, pauloregodesousa{at}


Idiopathic congenital chylothorax is defined as an abnormal accumulation of lymphatic fluid within the pleural space and is a relatively rare condition. It is a cause of progressive respiratory distress with nutritional and immunological consequences. Treatment of congenital chylothorax has been conservative management and cases unresponsive usually require surgery. We report a case of idiopathic congenital chylothorax treated with octreotide (a somatostatin analogue), avoiding surgery after failed conservative medical treatment. The patient promptly improved after initiation of endovenous octreotide treatment (10 µg/kg/h) with no observed side effects.

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  • Competing interests: None.

  • Patient consent: Patient/guardian consent was obtained for publication.

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