Successful surgical treatment of two cases of congenital chylous ascites.

Abstract:

:The authors report on 2 patients with congenital chylous ascites who underwent successful lymphatic duct ligation after a laparoscopic lymphoid dye test. Fetal ascites had been detected in both cases, and both babies were born with marked abdominal swelling. Given that conservative treatment by medium-chain triglyceride (MCT) milk and total parenteral nutrition (TPN) was ineffective, the authors elected to perform lymphatic duct ligation on the 95th postnatal day in the former case and on the 27th postnatal day in the latter case. Lipophilic dye was administered preoperatively both through oral and subcutaneous routes, and the peritoneal cavity was explored using laparoscopy. This laparoscopic lymphoid dye test precisely identified the area of chylous leakage, and the authors were able to repair the malformed lymphatic duct directly at laparotomy. Both postoperative courses have been favorable with no recurrence of symptoms. The lymphatic duct ligation should be considered in cases resistant to conservative treatment for over a month. The present laparoscopic lymphoid dye test is a novel and useful procedure that allows surgeons to identify the exact location of chylous leakage, and thus successfully ligate the lymphatic duct.

journal_name

J Pediatr Surg

authors

Mitsunaga T,Yoshida H,Iwai J,Matsunaga T,Kouchi K,Ohtsuka Y,Okada T,Hishiki T,Ohnuma N

doi

10.1053/jpsu.2001.27973

subject

Has Abstract

pub_date

2001-11-01 00:00:00

pages

1717-9

issue

11

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(01)24480-7

journal_volume

36

pub_type

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