“Open Questions” and Role of Lung Ultrasound in the Management of Congenital Chylothorax

Perri, Alessandro; Tana, Milena; Sbordone, Annamaria; Patti, Maria Letizia; Sattin, G; Vento, Giovanni

doi:10.1159/000520313

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…Although it is a rare entity, congenital chylothorax is the most common reason for pleural effusion in neonates, and various treatment strategies have been introduced and implemented ( 146 , 147 ). It has been suggested that LUS should be considered for the diagnosis, monitoring, and follow-up of neonates with congenital chylothorax ( 147 , 148 ).…”

Section: Lus In Other Neonatal Lung Diseasesmentioning

confidence: 99%

Application of ultrasonography in neonatal lung disease: An updated review

et al. 2022

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Lung disease is often life-threatening for both preterm and term newborns. Therefore, an accurate and rapid diagnosis of lung diseases in newborns is crucial, as management strategies differ with different etiologies. To reduce the risk of radiation exposure derived from the conventionally used chest x-ray as well as computed tomography scans, lung ultrasonography (LUS) has been introduced in clinical practice to identify and differentiate neonatal lung diseases because of its radiation-free characteristic, convenience, high accuracy, and low cost. In recent years, it has been proved that LUS exhibits high sensitivity and specificity for identifying various neonatal lung diseases. Here, we offer an updated review of the applications of LUS in neonatal lung diseases based on the reports published in recent years (2017 to present).

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Section: Lus In Other Neonatal Lung Diseasesmentioning

confidence: 99%

Application of ultrasonography in neonatal lung disease: An updated review

et al. 2022

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Usefulness of Point-Of-Care Ultrasound in Diagnosing and Managing Pediatric Multidistrict Chylous Effusion

Bellini,

Bustaffa,

Crocco

et al. 2024

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Background and Clinical Significance: The use of point-of-care ultrasound (POCUS) in emergency departments is rapidly growing due to its ability to provide immediate and accurate diagnostic information at the bedside. Furthermore, it can provide precise and rapid information on the location of multidistrict effusions in patients with suspected lymphatic decompensation. Case Presentation: This unique clinical case report describes a patient who presented with massive, multidistrict chylous effusion secondary to acute lymphatic insufficiency, a rare and challenging condition. Due to a recent diagnosis of celiac disease, the patient had started a gluten-free diet ten days before the onset of symptoms, suggesting a possible causal link. Through comprehensive thoracoabdominal POCUS, the diagnosis was made promptly, avoiding delays in treatment and enabling timely decision-making. Conclusions: This case emphasizes the critical role of POCUS not only in expediting diagnosis but also in guiding invasive procedures, such as thoracentesis, by visualizing fluid accumulation and anatomical structures in real-time. Moreover, POCUS provides an invaluable tool for ongoing clinical ultrasound follow-up, facilitating continuous monitoring without exposing the patient to the risks of radiation, thus optimizing patient care and resource utilization.

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“Open Questions” and Role of Lung Ultrasound in the Management of Congenital Chylothorax

Cited by 2 publications

References 6 publications

Application of ultrasonography in neonatal lung disease: An updated review

Application of ultrasonography in neonatal lung disease: An updated review

Usefulness of Point-Of-Care Ultrasound in Diagnosing and Managing Pediatric Multidistrict Chylous Effusion

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