Document Detail


Neonatal chylous ascites--report of three cases and review of the literature.
MedLine Citation:
PMID:  9099650     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
J K Chye; C T Lim; M Van der Heuvel
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Pediatric surgery international     Volume:  12     ISSN:  0179-0358     ISO Abbreviation:  Pediatr. Surg. Int.     Publication Date:  1997 Apr 
Date Detail:
Created Date:  1997-06-11     Completed Date:  1997-06-11     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8609169     Medline TA:  Pediatr Surg Int     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  296-8     Citation Subset:  IM    
Affiliation:
Department of Paediatrics, Faculty of Medicine, University of Malaya, Lembah Pantai, 59100 Kuala Lumpur, Malaysia.
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MeSH Terms
Descriptor/Qualifier:
Chylous Ascites / congenital*,  diagnosis,  epidemiology,  therapy
Female
Fetal Diseases / epidemiology,  ultrasonography
Humans
Infant, Newborn
Male
Pregnancy
Ultrasonography, Prenatal

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