eMJA: Spontaneous chylothorax in a 2-year-old child

Notable Cases

Spontaneous chylothorax in a 2-year-old child

Manuel E Soto-Martinez, Vanessa Clifford, Tom Clarnette, Sarath Ranganathan and R John Massie

MJA 2009; 190 (5): 262-264

A previously well 2-year-old girl presented with acute respiratory distress. After multiple investigations she was diagnosed with spontaneous chylothorax, attributed to strenuous vomiting. To our knowledge, this is the second reported case of spontaneous chylothorax occurring after the neonatal period. (MJA 2009; 190: 262-264)

Clinical record

A 2-year-old child presented to her local hospital with acute respiratory distress and a 2-day history of forceful vomiting and diarrhoea. She was afebrile, with no history of cough, coryza, trauma to the chest or spine, weight loss, or lethargy. She was born at term with no perinatal complications, and was growing along the 25th percentile for weight and height. She was not dysmorphic.

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