Perinatology.  2022 Mar;33(1):53-57. 10.14734/PN.2022.33.1.53.

Fetal Ascites Proven as Klippel-Trenaunay Syndrome after Birth: A Case Report

Affiliations
  • 1Departments of Pediatrics, Gachon University Gil Medical Center, Incheon, Korea
  • 2Departments of Obstetrics and Gynecology, Gachon University Gil Medical Center, Incheon, Korea

Abstract

Fetal ascites may occur for various reasons, and the prognosis depends on the underlying pathology. Fetal chylous ascites is a rare form of fetal ascites that results from the leakage of lymph into the peritoneal cavity. Klippel-Trenaunay syndrome (KTS) is a rare congenital anomaly characterized by vascular malformations of the capillary, venous and lymphatic vessels, unilateral soft and skeletal tissue hypertrophy, usually the lower extremity. We diagnosed a preterm infant with fetal ascites on prenatal ultrasonography, and it was confirmed as chylous ascites after birth. It was also later proven to be associated with KTS as the patient had certain characteristic skin lesions. The chylous ascites resolved with paracentesis and breastfeeding. We report this case along with a review of the relevant literature.

Keyword

Klippel-Trenaunay syndrome; Ascites; Chylous ascites; Breast feeding; Newborn infant
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