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Article ; Online: Congenital Chylous Ascites: A Rare Cause of Infantile Ascites Treated With MCT-Based Diet and Octreotide.

Rashid, Rafia / Shafi Ahmed, Syed / Mahmud, Salahuddin

JPGN reports

2021  Volume 3, Issue 1, Page(s) e149

Abstract: Congenital chylous ascites (CCAs) are a rare disease that results from the accumulation of chylomicron-rich lymphatic fluid within the peritoneal cavity due to maldevelopment of the intra-abdominal lymphatic system. Medium-chain triglyceride (MCT)-based ... ...

Abstract Congenital chylous ascites (CCAs) are a rare disease that results from the accumulation of chylomicron-rich lymphatic fluid within the peritoneal cavity due to maldevelopment of the intra-abdominal lymphatic system. Medium-chain triglyceride (MCT)-based diet, total parenteral nutrition (TPN), and repeated paracentesis are considered supportive management for CCA. Cases unresponsive to conservative treatment usually require surgical intervention. We report a case of CCA in a premature neonate treated successfully with intravenous infusion of octreotide (synthetic somatostatin analog), after failing to respond to supportive therapies. Due to the lack of standards in diagnosis and treatment, this disease constitutes a medical challenge, and individual therapy seems to be noteworthy.
Language English
Publishing date 2021-12-10
Publishing country United States
Document type Case Reports
ISSN 2691-171X
ISSN (online) 2691-171X
DOI 10.1097/PG9.0000000000000149
Database MEDical Literature Analysis and Retrieval System OnLINE

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