All issues > Volume 49(10); 2006

Case Report

Korean J Pediatr. 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 JH Yoon¹, Hye Ran HR Yang¹, Jae Sung JS Ko¹, Jeong Kee JK Seo¹

¹Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea

Correspondence Jeong Kee JK 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.

Keywords :Chylous ascites , Post-operative , Splenorenal shunt