Congenital Chylothorax Treated with Oral Sildenafil—Case Report from Nigeria and Review of Literature ()
ABSTRACT
Congenital chylothorax, a
condition in which chyle accumulates in the pleural cavity, is extremely rare. The
reported incidence is 1 in 24,000 births. Medical treatment using octreotide as
well as chemical and surgical pleurodesis has been reported, but also few reports on the
successful use of Sildenafil exists. We herein report a case of congenital chylothorax referred to our
Hospital at 7 days-old.
Sildenafil was introduced on day 6 post intubation. Before the introduction of
sildenafil, the peak total daily drainage was 106 ml/kg/day (340 mls/day), and after sildenafil was introduced, the
total daily drainage dropped progressively to 10 ml/kg/day by day 11 post intubation. This case
report highlights the successful use of oral Sildenafil for treatment of
congenital chylothorax and also peculiarities of management related to a
resource- constrained
developing country setting in Africa.
Share and Cite:
Uzodimma, C. , Sanni, S. , Madise-Wobo, D. and Uzodimma, C. (2023) Congenital Chylothorax Treated with Oral Sildenafil—Case Report from Nigeria and Review of Literature.
Open Journal of Pediatrics,
13, 189-195. doi:
10.4236/ojped.2023.132024.
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