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  • Title: Successful treatment of congenital chylothorax with skimmed milk and long course octreotide.
    Author: Sahoo T, Mangla MK, Sethi A, Thukral A.
    Journal: BMJ Case Rep; 2018 Dec 03; 11(1):. PubMed ID: 30567162.
    Abstract:
    Congenital chylothorax (CC) is a rare entity in neonatal period requiring multimodal management strategies. Despite optimum treatment, some cases remain refractory posing significant challenge to the treating physician. We here describe a 33-week preterm neonate presenting with refractory congenital chylothorax who needed treatment with combination of skimmed milk, high dose and prolonged duration octreotide for resolution. This case highlighted that octreotide has a good safety profile in newborn infants with congenital chylothorax and locally available skimmed milk fortified with medium chain triglyceride (MCT) oil is a cheap and safe alternative.
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