Acute 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
Piastra, M., Pietrini, D., Ruggiero, A., Rizzo, D., Marzano, L., Attina', G., De Luca, D., De Rosa, G., Conti, G., Tension chylothorax complicating acute malignant airway obstruction, <<PEDIATRIC EMERGENCY CARE>>, 2011; (Maggio): 406-408 [http://hdl.handle.net/10807/3813]
Tension chylothorax complicating acute malignant airway obstruction
Piastra, Marco;Pietrini, Domenico;Ruggiero, Antonio;Rizzo, Daniela;Marzano, Laura;Attina', Giorgio;De Luca, Daniele;De Rosa, Gabriella;Conti, Giorgio
2011
Abstract
Acute 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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