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Kim and Lee: Cesarean delivery with postnatal high-frequency ventilation immediately after thoracocentesis for a fetus with intractable congenital chylothorax
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2011; 54(2): 99-102.

Published online: 16 February 2011

DOI: https://doi.org/10.5468/KJOG.2011.54.2.99

Cesarean delivery with postnatal high-frequency ventilation immediately after thoracocentesis for a fetus with intractable congenital chylothorax

Gwang Jun Kim, MD1, Eun Sil Lee, MD2

1Department of Obstetrics and Gynecology, Chung-Ang University College of Medicine, Seoul, Korea.

2Department of Obstetrics and Gynecology, Incheon St. Mari's Hospital, The Catholic University of Korea School of Medicine, Incheon, Korea.

Corresponding author: Gwang Jun Kim, MD. Department of Obstetrics and Gynecology, Chung-Ang University College of Medicine, 224-1 Heukseok-dong, Dongjak-gu, Seoul 156-755, Korea. Tel: +82-2-6299-1656, Fax: +82-2-6263-2187, gjkim@cau.ac.kr

Received 8 November 2010       Accepted 3 January 2011

Copyright © 2011. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We experienced a case of fetus with congenital chylothorax who treated with thoracocentesis immediately followed by cesarean delivery with high frequency ventilation therapy after treatment failure by serial thoracocentesis and pleurodesis with OK-432. This approach achieved an effective control. So we suggest that cesarean delivery along with postnatal high-frequency ventilation immediately after thoracocentesis can be considered in a fetus with intractable congenital chylothorax.

Keywords: Chylothorax, Thoracocentesis, OK-432

Figures and Tables

Fig. 1
Fetal ultrasonography showing bilateral pleural effusion and skin edema.
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Fig. 2
After intrapleural injection of OK-432 at 32+2 weeks of gestation. No residual intrathoracic fluid was observed.
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Fig. 3
Chest X-ray image of the neonate at birth.
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