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Obstet Gynecol Sci > Volume 54(2); 2011 > Article
Korean Journal of Obstetrics & Gynecology 2011;54(2):99-102.
DOI: https://doi.org/10.5468/KJOG.2011.54.2.99    Published online February 1, 2011.
Cesarean delivery with postnatal high-frequency ventilation immediately after thoracocentesis for a fetus with intractable congenital chylothorax.
Gwang Jun Kim, Eun Sil Lee
1Department of Obstetrics and Gynecology, Chung-Ang University College of Medicine, Seoul, Korea. gjkim@cau.ac.kr
2Department of Obstetrics and Gynecology, Incheon St. Mari's Hospital, The Catholic University of Korea School of Medicine, Incheon, Korea.
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.
Key Words: Chylothorax, Thoracocentesis, OK-432
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