{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T02:56:06Z","timestamp":1771296966359,"version":"3.50.1"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,4,6]]},"abstract":"<jats:p>A 3-month-old infant was admitted to the respiratory unit for dyspnoea and vomiting after her second DTaP-Polio vaccine shot. The chest X-rays showed a white right lung with a left mediastinal shift. A pleural aspiration assessed the diagnosis of chylothorax. A conservative treatment was initiated with a fat-free diet and pleural aspirations. As this treatment was ineffective, a total parenteral nutrition was started at day 11, plus increasing doses of Octreotide. As the chylothorax persisted at day 50, a pleuroperitoneal shunting was performed but a pleurodesis was finally necessary. The child was discharged from the hospital 6\u2005weeks after the surgery. Ten months later, her physical and biological conditions were normal and her chest X-rays dramatically improved. This case highlights the difficult management of infant chylothorax. Although conservative treatment has to be tried first, surgical procedures as pleuroperitoneal shunting and rarely pleurodesis have to be discussed.<\/jats:p>","DOI":"10.1136\/bcr-2014-204147","type":"journal-article","created":{"date-parts":[[2014,4,30]],"date-time":"2014-04-30T07:20:40Z","timestamp":1398842440000},"page":"bcr2014204147","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["An idiopathic congenital chylothorax: surgery or conservative management?"],"prefix":"10.1136","volume":"2014","author":[{"given":"Caroline","family":"Perisson","sequence":"first","affiliation":[{"name":"Department of Pediatric Pulmonology, Trousseau Children Hospital, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadia","family":"Nathan","sequence":"additional","affiliation":[{"name":"Department of Pediatric Pulmonology, Trousseau Children Hospital, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele","family":"Larroquet","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Trousseau Children Hospital, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harriet","family":"Corvol","sequence":"additional","affiliation":[{"name":"Department of Pediatric Pulmonology, Trousseau Children Hospital, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,4,30]]},"reference":[{"key":"2025082803163708000_2014.apr30_1.bcr2014204147.1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.116.3.682"},{"issue":"9.","key":"2025082803163708000_2014.apr30_1.bcr2014204147.2","first-page":"CD006388","article-title":"Octreotide for the treatment of chylothorax in neonates","volume":"8","author":"Das","year":"2010","journal-title":"Cochrane Rev"},{"key":"2025082803163708000_2014.apr30_1.bcr2014204147.3","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7210975"},{"key":"2025082803163708000_2014.apr30_1.bcr2014204147.4","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1007\/BF02072505","article-title":"Chylothorax in the neonatal period","volume":"152","author":"Van Straaten","year":"1993","journal-title":"Eur J Pediatr"},{"key":"2025082803163708000_2014.apr30_1.bcr2014204147.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2007.10.024"},{"key":"2025082803163708000_2014.apr30_1.bcr2014204147.6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2011.02529.x"},{"key":"2025082803163708000_2014.apr30_1.bcr2014204147.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(99)90192-6"},{"key":"2025082803163708000_2014.apr30_1.bcr2014204147.8","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/S0761-8417(04)73477-X","article-title":"Surgery for chylothorax","volume":"60","author":"Riquet","year":"2004","journal-title":"Rev Pneumol Clin"},{"key":"2025082803163708000_2014.apr30_1.bcr2014204147.9","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(83)80034-7"},{"key":"2025082803163708000_2014.apr30_1.bcr2014204147.10","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(89)90067-2"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-204147","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:16:45Z","timestamp":1756376205000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-204147"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,4,30]]},"references-count":10,"alternative-id":["10.1136\/bcr-2014-204147"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-204147","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,4,30]]}}}