Neonatal chylous ascites--report of three cases and review of the literature.

Chye, J.K.; Lim, C.T.; Van der Heuvel, M. (1997) Neonatal chylous ascites--report of three cases and review of the literature. Pediatric surgery international, 12 (4). pp. 296-8. ISSN 0179-0358

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Abstract

Three cases of neonatal chylous ascites (CCA) were managed in the neonatal unit, University Hospital, Kuala Lumpur, over the past 9 years. Fetal ascites and polyhydramnios were the sole abnormalities detected in all three babies by antenatal ultrasonography. They were born at 36 weeks' gestation and their birth weights ranged from 3.0 kg to 3.8 kg. All three infants had abdominal distension at birth. Milky ascitic fluid was obtained after starting enteral feedings. Analysis of the ascitic fluid revealed a raised white blood cell count (predominantly lymphocytic) and triglycerides (1.4 - 3.8 mmol/l), cholesterol (1.6 - 2.8 mmol/l), and protein levels (25 - 41 g/l). Conservative management with skimmed milk and medium-chain triglycerides in one infant and Pregestimil in another was instituted. these two infants with CCA were clinically normal when reviewed at 19 months and 3.5 years of age. The third infant had a gut malrotation and associated pyloric septum; he died from complications of a laparotomy. The literature on this rare condition is reviewed.

Item Type: Article
Journal or Publication Title: Pediatric surgery international
Additional Information: Department of Paediatrics, Faculty of Medicine, University of Malaya, Lembah Pantai, 59100 Kuala Lumpur, Malaysia
Uncontrolled Keywords: Chylous Ascites/diagnosis; Chylous Ascites/epidemiology
Subjects: R Medicine > RJ Pediatrics
Divisions: Faculty of Medicine
Depositing User: Mr. Faizal Hamzah
Date Deposited: 08 Jun 2011 09:45
Last Modified: 20 Oct 2014 17:07
URI: http://eprints.um.edu.my/id/eprint/1495

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