Clinical and Experimental Pediatrics

Original Article

Nutrition

Success rates of conservative treatment and optimal surgical timing for pediatric chylothorax

Pakwan Kaewchusen, Narumon Densupsoontorn, Supaluck Kanjanauthai, Puthita Saengpanit

Clin Exp Pediatr. 2025;68(11):871-878. Published online August 6, 2025

Question: What is the success rate of conservative treatment for pediatric chylothorax, and when should surgical intervention be employed?
Finding: Overall success rate of conservative treatment was 83.3%. Surgically related etiologies and lower peak pleural fluid drainage rates were significantly associated with successful conservative management of pediatric chylothorax.
Meaning: If chylous drainage persists at ≥10 mL/kg/day beyond 2 weeks of optimal conservative treatment, surgical intervention should be considered.

DOI: https://doi.org/10.3345/cep.2025.00598

General Pediatrics

Efficacy of conservative treatment of perianal abscesses in children and predictors for therapeutic failure

Lars Boenicke, Johannes Doerner, Stefan Wirth, Hubert Zirngibl, Mike Ralf Langenbach

Clin Exp Pediatr. 2020;63(7):272-277. Published online May 15, 2020

Web of Science 11 Crossref 11

Background: The optimal management of perianal abscess in children is controversial.
Purpose: To evaluate the efficiency of conservative treatment of perianal abscess in children and identify parameters that predict therapy failure. Methods: All cases of children younger than 14 years of age with perianal abscesses between 2001–2016 were evaluated. Results: Of the 113 enrolled patients, 64 underwent subsequent surgery for advanced disease (primary...

DOI: https://doi.org/10.3345/cep.2019.00969

Case Report

A case of a child with non-parasitic chyluria

Da Eun Jung, Ja Wook Koo, Sang Woo Kim, Hae Il Cheong

Clin Exp Pediatr. 2006;49(3):326-328. Published online March 15, 2006

Chyluria is the passage of milky urine due to the leakage of lymph into the urinary tract. Chyluria occurs predominantly in adults and is rare in children. We present an unusual case in which a child with proteinuria, hematuria and milky urine was subsequently diagnosed with non-parasitic chyluria. Retrograde cystogram confirmed a lymphatico-calyceal communication. This case showed spontaneous remission. The...

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Two Cases of Primary Segmental Infarction of the Greater Omentum

Do Yeon Kim, Weon Park, Dong Jin Lee, Jung Hyeok Kwon

Clin Exp Pediatr. 2001;44(6):694-699. Published online June 15, 2001

Primary segmental infarction of the greater omentum is a rare condition which usually simulates acute appendicitis or cholesystitis because of right-sided abdominal pain, tenderness, fever and leukocytosis. Its cause is unknown. Most authors believe that the condition results from an embryologic variant associated with anomalous and fragile blood supply of the right lower portion of the greater omentum, which is...

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