| A case of post-operative chylous ascites after a splenorenal shunt operation in a child with congenital hepatic fibrosis |
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Jong Hyung Yoon, Hye Ran Yang, Jae Sung Ko, Jeong Kee Seo |
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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 |
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윤종형, 양혜란, 고재성, 서정기 |
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서울대학교 의과대학 소아과학교실 |
Correspondence:
Jeong Kee Seo, Email: ikseo@snu.ac.kr
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| Abstract |
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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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