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Congenital chylous ascites treated successfully with MCT-Based formula and octreotide.

Purkait R, Saha A, Tripathy I, Roy B - J Indian Assoc Pediatr Surg (2014)

Bottom Line: Medium chain triglyceride (MCT)-based diet, total parenteral nutrition (TPN) and repeated paracentesis are considered as supportive management for congenital chylous ascites (CCA).TPN is considered where therapy with oral MCT is poorly tolerated by the patient especially young infant with unstable hemodynamic.Surgery is recommended when medical therapy fails.

View Article: PubMed Central - PubMed

Affiliation: Department of Paediatric Medicine, Nil Ratan Sircar Medical College and Hospital, Acharya Jagadish Chandra Bose Road, Kolkata, West Bengal, India.

ABSTRACT
Medium chain triglyceride (MCT)-based diet, total parenteral nutrition (TPN) and repeated paracentesis are considered as supportive management for congenital chylous ascites (CCA). TPN is considered where therapy with oral MCT is poorly tolerated by the patient especially young infant with unstable hemodynamic. Surgery is recommended when medical therapy fails. Herein, we report a 2½-month-old infant with CCA, treated successfully with octreotide intravenous infusion after the initial failure to response to conventional conservative therapy with MCT-enriched formula and paracentesis.

No MeSH data available.


Related in: MedlinePlus

Pre-treatment photograph of the baby showing massive abdominal swelling without pedal edema (Inset — thick milky white turbid ascitic fluid collected after abdominal paracentesis) (a) and posttreatment photograph showing regression of abdominal swelling (b)
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Figure 1: Pre-treatment photograph of the baby showing massive abdominal swelling without pedal edema (Inset — thick milky white turbid ascitic fluid collected after abdominal paracentesis) (a) and posttreatment photograph showing regression of abdominal swelling (b)

Mentions: A 2½-month-old female infant born to parents of nonconsanguineous marriage was referred with complaint of gradual distension of abdomen since the age of 1 month. Her weight (4.2 kg) and length (52 cms) were both below 3rd percentile of WHO growth standards. On examination, she had tense ascites, resulting severe respiratory distress but characteristically had no edema [Figure 1a]. Ultrasonography of abdomen depicted normal abdominal findings other than presence of massive ascites [Figure 2a].


Congenital chylous ascites treated successfully with MCT-Based formula and octreotide.

Purkait R, Saha A, Tripathy I, Roy B - J Indian Assoc Pediatr Surg (2014)

Pre-treatment photograph of the baby showing massive abdominal swelling without pedal edema (Inset — thick milky white turbid ascitic fluid collected after abdominal paracentesis) (a) and posttreatment photograph showing regression of abdominal swelling (b)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4155638&req=5

Figure 1: Pre-treatment photograph of the baby showing massive abdominal swelling without pedal edema (Inset — thick milky white turbid ascitic fluid collected after abdominal paracentesis) (a) and posttreatment photograph showing regression of abdominal swelling (b)
Mentions: A 2½-month-old female infant born to parents of nonconsanguineous marriage was referred with complaint of gradual distension of abdomen since the age of 1 month. Her weight (4.2 kg) and length (52 cms) were both below 3rd percentile of WHO growth standards. On examination, she had tense ascites, resulting severe respiratory distress but characteristically had no edema [Figure 1a]. Ultrasonography of abdomen depicted normal abdominal findings other than presence of massive ascites [Figure 2a].

Bottom Line: Medium chain triglyceride (MCT)-based diet, total parenteral nutrition (TPN) and repeated paracentesis are considered as supportive management for congenital chylous ascites (CCA).TPN is considered where therapy with oral MCT is poorly tolerated by the patient especially young infant with unstable hemodynamic.Surgery is recommended when medical therapy fails.

View Article: PubMed Central - PubMed

Affiliation: Department of Paediatric Medicine, Nil Ratan Sircar Medical College and Hospital, Acharya Jagadish Chandra Bose Road, Kolkata, West Bengal, India.

ABSTRACT
Medium chain triglyceride (MCT)-based diet, total parenteral nutrition (TPN) and repeated paracentesis are considered as supportive management for congenital chylous ascites (CCA). TPN is considered where therapy with oral MCT is poorly tolerated by the patient especially young infant with unstable hemodynamic. Surgery is recommended when medical therapy fails. Herein, we report a 2½-month-old infant with CCA, treated successfully with octreotide intravenous infusion after the initial failure to response to conventional conservative therapy with MCT-enriched formula and paracentesis.

No MeSH data available.


Related in: MedlinePlus