Chylothorax is an abnormal collection of milky white fluid called chyle in pleural space, and is an uncommon cause of respiratory distress in neonates. There is high morbidity and mortality, if not managed appropriately. Here we report a rare case of congenital bilateral chylothorax presented with respiratory distress in our NICU on day one of life. Thoracocentes revealed chyle on both the sides. In view of high drainage of chylous fluid, besides TPN, Octreotide infusion started and the baby responded well.

Fetus in fetu (FIF) is a rare condition in which baby harbors its monozygotic malformed twin fetus inside its own body. This is even rarer in supra renal location, mostly asymptomatic but may present as a palpable abdominal lump. Here in we describe one newborn male child with antenatal diagnosis of mass abdomen. Post-natal ultra-sonogram of abdomen was suggestive of left supra renal mass. Operative findings and histopathology were consistent with fetus in fetu.