+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Neonatal chylous ascites: report of two cases



Neonatal chylous ascites: report of two cases



Zhonghua Minguo Xiao Er Ke Yi Xue Hui Za Zhi Zhonghua Minguo Xiao Er Ke Yi Xue Hui 31(1): 47-52



Chylous ascites in neonates is an unusual and etiologically poor understood entity. Our first case was a female newborn who suffered from abdominal distension and recurrent vomiting after birth. The history, physical, laboratory, and radiologic evaluations were not diagnostic except the evidence of obvious ascites. Paracentesis was performed and ascitic fluid was obtained. She was later discharged on a strict low-fat medium-chain triglycerides formula. She was found to have continue increase in abdominal girth, poor growth and development, and respiratory distress in which led her to readmission at 8 months of age. Exploratory laparotomy was done in order to rule out an anatomical lesion in which may be obstructing the lymphatic flow; but no such lesion could be found. She expired at 1 year of age with chylothorax, chylopericardium and lobar pneumonia. The second case, a 37-day-old male baby, who was admitted because of right inguinal hernia. Milky ascitic fluid in the abdomen was incidentally found during herniorrhaphy. Analysis of the fluid revealed protein 1,616 mg/dl, glucose 487 mg/dl, and triglyceride 796 mg/dl. Culture of peritoneal fluid grew no bacteria. Other laboratory findings were: serum protein 4.8 mg/dl, and BUN 14 mg/dl. A plain film of abdomen and sonogram showed massive ascites. The infant was then put on Pregestimil with the hope that the medium-chain triglyceride formula would improve his condition. Since then the child's abdominal girth did not increase and he continued to growth and develop normally at 4 months follow up.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 040780608

Download citation: RISBibTeXText

PMID: 2278229


Related references

Neonatal chylous ascites--report of three cases and review of the literature. Pediatric Surgery International 12(4): 296-298, 1997

Congenital fetal and neonatal visceral chylous effusions: neonatal chylothorax and chylous ascites revisited. A multicenter retrospective study. Lymphology 45(3): 91, 2012

Neonatal chylous ascites: a case report and review of the literature. La Pediatria Medica e Chirurgica 20(4): 285-286, 1998

The causes of chylous ascites: a report of 22 cases. Zhonghua Nei Ke Za Zhi 38(8): 530-532, 1999

Chylous ascites complicating neonatal peritoneal dialysis A case report. Cocuk Sagligi ve Hastaliklari Dergisi 45(4): 322-325, October-December, 2002

Chylous ascites in children: report of 8 cases. Zhongguo Dang Dai Er Ke Za Zhi 11(2): 153-154, 2009

Chylous ascites in childhood; report of five cases. Annals of Surgery 142(6): 1013-1020, 1955

Therapeutic management of neonatal chylous ascites: report of a case and review of the literature. Acta Paediatrica 99(9): 1307-1310, 2010

Treatment of neonatal chylous ascites using a modified Denver peritoneovenous shunt: a case report. La Pediatria Medica e Chirurgica 25(2): 145-147, 2003

Successful management of chylous ascites: A report of two cases. Saudi Journal of Kidney Diseases and Transplantation 27(2): 386-390, 2016

Congenital chylous ascites: report of four cases and review of the literature. Annals of Saudi Medicine 20(5-6): 436-439, 2007

Mycobacterial chylous ascites: report of three cases and systematic review. Therapeutic Advances in Infectious Disease 5(4): 69-75, 2018

Chylous ascites in gynecologic malignancies: cases report and literature review. Archives of Gynecology and Obstetrics 281(4): 677-681, 2010

Chylous ascites following retroperitoneal lymphadenectomy: report of 2 cases with guidelines for diagnosis and treatment. Cancer 42(1): 349-352, 1978

Milky effusions occurring in serous cavities, with report on a case of chylous ascites and chylous hydrothorax. Journal of Pathology 6(3): 339-355, 1900