African Journal of Paediatric Surgery (Jan 2022)

Management of chylous ascites with surgery and frusemide in a new born

  • Samuel Wabada,
  • Halima Abubakar Ibrahim,
  • Bisuma Joel Dada,
  • Aisha Umaryyrah Zanna,
  • Abdulmajeed Muhammed,
  • Bello Mustapha

DOI
https://doi.org/10.4103/ajps.AJPS_59_21
Journal volume & issue
Vol. 19, no. 3
pp. 192 – 195

Abstract

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Chylous ascites is the accumulation of milky fat-rich chyle in the peritoneal cavity. It is a rare condition in children. Congenital malformations of the lymphatic vascular channel are the predominant cause in children. Diagnosis is often confirmed by paracentesis of the chylous ascitic fluid. Treatment is generally conservative except in rare refractory cases that surgery is required for closure of the leak site or excision of the lymphatic cyst. Here is a report on the management of chylous ascites in a 6-h-old girl presenting in acute respiratory distress with acute abdominal distention due rapid increase in chylous ascitic fluid volume that was managed with surgery and frusemide.

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