• Pediatric emergency care · May 2011

    Case Reports

    Tension chylothorax complicating acute malignant airway obstruction.

    • Marco Piastra, Domenico Pietrini, Antonio Ruggiero, Daniela Rizzo, Laura Marzano, Giorgio Attinà, Daniele De Luca, Gabriella De Rosa, and Giorgio Conti.
    • Paediatric Intensive Care Unit, Emergency Department, Catholic University Medical School, Rome, Italy.
    • Pediatr Emerg Care. 2011 May 1;27(5):406-8.

    AbstractAcute upper airway obstruction represents one of the most challenging emergencies in pediatric practice. In particular, a tension chylothorax complicating a malignant airway obstruction is a rare and life-threatening complication. We report a rapidly progressing tension chylothorax associated with a cervical mass in a 10-month-old male infant. To our knowledge, the extension of a cervical mass to the supraclavear region resulting in a compressive chylothorax represents an exceptional event in pediatrics. Early recognition and prompt treatment resulted to be essential to relieve the compression and to avoid end-stage hemodynamic and respiratory function derangement.

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