EJMCR |

Case Report

Volume: 8 | Issue: 7 | Published: Aug 07, 2024 | Pages: 136 - 138 | DOI: 10.24911/ejmcr.173-1586346005

Chylous ascites in an infant, a case report and literature review

Authors: Taha Ibrahim Yousif , Sally Newbold , Nkem Onyeador , Sanjay Bansal

Authors

Taha Ibrahim Yousif

Department of Pediatric Hepatology, King&apos;s College Hospital, London, UK Consultant Pediatrician, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia

Sally Newbold

Department of Pediatric Hepatology, King&apos;s College Hospital, London, UK

Nkem Onyeador

Department of Pediatric Hepatology, King&apos;s College Hospital, London, UK

Sanjay Bansal

Department of Pediatric Hepatology, King&apos;s College Hospital, London, UK.

Publication History

Received: April 08, 2020

Accepted:

Published: August 07, 2024

Abstract

Background: Chylous ascites (CA) is very rare in the pediatric population. It is defined as whitish ascitic fluid with lymphocyte predominance. Congenital CA is probably the most common cause of CA in children. We report a case of an infant with CA; the cause of which remains unidentified, with full recovery. We have included a relevant literature review as well. Case Presentation: A previously well 4-month-old baby girl was referred for worsening ascites. Despite extensive workup, no cause was found. Treatment options including diuretics, medium chain triglyceride formula (MCT) feeds, abdominal paracentesis, and total parenteral nutrition (TPN) were attempted. She recovered fully with no residual morbidity. Conclusion: CA very rare in the pediatric population. Extensive workup excluded known causes and the yield was negative. Treatment is mainly supportive. MCT formula, fasting, and TPN were reported to have variable effects. Surgery could required in limited cases.

Keywords: Congenital ascites, chylous, TPN, abdominal distension, case report, green

Pubmed Style

Taha Ibrahim Yousif, Sally Newbold, Nkem Onyeador, Sanjay Bansal. Chylous ascites in an infant, a case report and literature review. EJMCR. 2024; 07 (August 2024): 136-138. doi:10.24911/ejmcr.173-1586346005

Web Style

Taha Ibrahim Yousif, Sally Newbold, Nkem Onyeador, Sanjay Bansal. Chylous ascites in an infant, a case report and literature review. https://ejmcr.com/articles/1210 [Access: October 28, 2024]. doi:10.24911/ejmcr.173-1586346005

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Taha Ibrahim Yousif, Sally Newbold, Nkem Onyeador, Sanjay Bansal. Chylous ascites in an infant, a case report and literature review. EJMCR. (2024), [cited October 28, 2024]; 07 (August 2024): 136-138. doi:10.24911/ejmcr.173-1586346005

Harvard Style

Taha Ibrahim Yousif, Sally Newbold, Nkem Onyeador, Sanjay Bansal (2024) Chylous ascites in an infant, a case report and literature review. EJMCR, 07 (August 2024): 136-138. doi:10.24911/ejmcr.173-1586346005

Chicago Style

Taha Ibrahim Yousif, Sally Newbold, Nkem Onyeador, Sanjay Bansal. "Chylous ascites in an infant, a case report and literature review." 07 (2024), 136-138. doi:10.24911/ejmcr.173-1586346005

MLA (The Modern Language Association) Style

Taha Ibrahim Yousif, Sally Newbold, Nkem Onyeador, Sanjay Bansal. "Chylous ascites in an infant, a case report and literature review." 07.August 2024 (2024), 136-138. Print. doi:10.24911/ejmcr.173-1586346005

APA (American Psychological Association) Style

Taha Ibrahim Yousif, Sally Newbold, Nkem Onyeador, Sanjay Bansal (2024) Chylous ascites in an infant, a case report and literature review. , 07 (August 2024), 136-138. doi:10.24911/ejmcr.173-1586346005