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

Korean Journal of Pediatrics 2006;49(10):1106-1110.
Published online October 15, 2006.
A case of post-operative chylous ascites after a splenorenal shunt operation in a child with congenital hepatic fibrosis
Jong Hyung Yoon, Hye Ran Yang, Jae Sung Ko, Jeong Kee Seo
Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea
A case of post-operative chylous ascites after a splenorenal shunt operation in a child with congenital hepatic fibrosis
윤종형, 양혜란, 고재성, 서정기
서울대학교 의과대학 소아과학교실
Correspondence: 
Jeong Kee Seo, Email: ikseo@snu.ac.kr
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.
Key Words: Chylous ascites , Post-operative , Splenorenal shunt


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