Korean J Pediatr.  2006 Oct;49(10):1106-1110. 10.3345/kjp.2006.49.10.1106.

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

• Yoon JH
• Yang HR
• Ko JS
• Seo JK

• KMID: 2279789
• DOI: http://doi.org/10.3345/kjp.2006.49.10.1106

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.

Keyword

Chylous ascites; Post-operative; Splenorenal shunt

MeSH Terms

Ascites
Child*
Child, Preschool
Chylous Ascites*
Diet
Fasting
Female
Fibrosis*
Humans
Parenteral Nutrition, Total
Splenorenal Shunt, Surgical*
Triglycerides