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KMID : 1130320060490101106
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Korean Journal of Pediatrics
2006 Volume.49 No. 10 p.1106 ~ p.1110
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A case of post-operative chylous ascites after a splenorenal shunt operation in a child with congenital hepatic fibrosis
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Yoon Jong-Hyung
Yang Hye-Ran
Ko Jae-Sung
Seo Jeong-Kee
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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
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KEYWORD
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Chylous ascites, Post-operative, Splenorenal shunt
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