A Japanese boy weighing 3,100 grams, was admitted with progressive dyspnea and cyancsis sixteen hours after birth. Chest X-ray revealed left bochdalek hernia and a herniorrhaphy was done. On the fifteenth post operative day, the chylothorax was complicated and continuous drainage of the pleural cavity had to be done. He was then placed on a MCT diet, with good clinical improvement, in six days.
