Related Experiment Video
Updated: Jun 13, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Chronic Chylothorax in Childhood: Clinical Complexity and Management Challenges-A Case Report and Literature Overview
Teofana-Otilia Bizerea-Moga1,2, Cristina-Loredana Pantea3,4, Giorgiana Flavia Brad1,2
1Department XI of Pediatrics-1st Pediatric Discipline, Center for Research on Growth and Developmental Disorders in Children, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Sq No. 2, 300041 Timisoara, Romania.
Insights
This case study highlights the successful management of massive chylothorax in an adolescent using octreotide. Continuous intravenous octreotide infusion may be an effective adjunctive treatment for pediatric chylothorax.
Area of Science:
- Pediatric Pulmonology
- Thoracic Medicine
- Clinical Case Reports
Background:
- Pleural effusion stems from fluid imbalance in the pleural space.
- Chylothorax, rare in children, involves chyle accumulation.
- Octreotide use in older pediatric chylothorax lacks standardized protocols.
Abstract:
Background and Clinical Significance: Pleural effusion results from an imbalance between fluid production and lymphatic drainage within the pleural space and may arise from a wide range of conditions. Chylothorax, characterized by the accumulation of chyle in the pleural cavity, is an uncommon cause of pleural effusion in the pediatric population. Although octreotide has been widely used in neonatal postoperative chylothorax, evidence supporting its role in acquired chylothorax beyond infancy remains limited, and dosing strategies are not standardized. This report describes the management of massive chylothorax in an adolescent patient. Case Presentation: A 13-year-old girl presented with fatigue, decreased exercise tolerance, vertigo, and diaphoresis and was diagnosed with massive right-sided chylothorax based on imaging and pleural fluid analysis. Treatment consisted of pleural drainage, dietary measures, and continuous intravenous octreotide administered within a multidisciplinary care framework. Chylous drainage declined progressively, with complete resolution of the effusion achieved without surgical intervention. Conclusions: Chylothorax in older children and adolescents may present with nonspecific symptoms and requires a high index of clinical suspicion. Early diagnosis, appropriate drainage, and individualized therapy are essential for favorable outcomes. Continuous octreotide infusion may represent an effective adjunctive treatment in selected pediatric cases, but further studies are needed to define optimal dosing and treatment duration.
Related Concept Videos
Pneumothorax-II
Clinical Manifestations:
Chronic Obstructive Pulmonary Disease IV: Clinical Manifestations
Esophageal Strictures-II: Clinical Features and Management
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Pneumothorax II: Pathophysiology
Cystic Fibrosis: Management
Sinus disease and chronic sinusitis...
Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features