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