A case of post-operative chylous ascites after a splenorenal shunt operation in a child with congenital hepatic fibrosis.
10.3345/kjp.2006.49.10.1106
- Author:
Jong Hyung YOON
1
;
Hye Ran YANG
;
Jae Sung KO
;
Jeong Kee SEO
Author Information
1. Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea. jkseo@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Chylous ascites;
Post-operative;
Splenorenal shunt
- MeSH:
Ascites;
Child*;
Child, Preschool;
Chylous Ascites*;
Diet;
Fasting;
Female;
Fibrosis*;
Humans;
Parenteral Nutrition, Total;
Splenorenal Shunt, Surgical*;
Triglycerides
- From:Korean Journal of Pediatrics
2006;49(10):1106-1110
- CountryRepublic of Korea
- Language:English
-
Abstract:
Chylous ascites is a rare condition caused by various diseases and conditions that interfere with the abdominal or retroperitoneal lymphatics, and uncommonly it can manifest as a post-operative complication after abdominal, retroperitoneal or mediastinal surgery. Chylous ascites can be diagnosed by a high triglyceride content in ascites. The authors experienced a 5-year-old girl with congenital hepatic fibrosis who presented with chylous ascites after a splenorenal shunt operation, who was successfully managed by fasting and total parenteral nutrition, followed by a lipid-free diet with medium chain triglyceride supplementation. Here, the authors report this case of post-operative chylous ascites after a splenorenal shunt (Warren shunt) operation with a review of the pertinent literature.
