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A case of post-operative chylous ascites after a splenorenal shunt operation in a child with congenital hepatic fibrosis  

Yoon, Jong Hyung (Department of Pediatrics, College of Medicine, Seoul National University)
Yang, Hye Ran (Department of Pediatrics, College of Medicine, Seoul National University)
Ko, Jae Sung (Department of Pediatrics, College of Medicine, Seoul National University)
Seo, Jeong Kee (Department of Pediatrics, College of Medicine, Seoul National University)
Publication Information
Clinical and Experimental Pediatrics / v.49, no.10, 2006 , pp. 1106-1110 More about this Journal
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.
Keywords
Chylous ascites; Post-operative; Splenorenal shunt;
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