Abstract
Primary chylous ascites in children: Rare cause of a common presentation
Highlights
Primary chylous ascites (CA) is a rare entity seen in neonates and infants secondary to lymphatic dysplasia, leading to chylous leak from lymphatics[1].Case report An 11 month old child presented with a four month history of inadequate weight gain along with a two month history of abdominal distension
A 99mTc – SC lymphoscintigraphy was suggestive of a lacteal leak with no evidence of lymphatic obstruction
Secondary causes of a CA, like malignancy, post-operative, radiation, blunt injury of abdomen, hepatic cirrhosis, portal vein thrombosis and nephrotic syndrome were ruled out. She was started on a high protein, low fat diet with medium chain triglyceride (MCT) supplementation
Summary
Primary chylous ascites (CA) is a rare entity seen in neonates and infants secondary to lymphatic dysplasia, leading to chylous leak from lymphatics[1].Case report An 11 month old child presented with a four month history of inadequate weight gain along with a two month history of abdominal distension. Blood investigations revealed hypoalbuminaemia (1.78g/dl) with normal counts, mild hypocalcaemia (8.7mg/dl), normal renal function tests, normal liver enzymes and normal prothrombin time. Ultrasonography (USG) of abdomen revealed gross ascites. Echocardiography, portal and hepatic vein Doppler were normal.
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