Successful Treatment in a Newborn Infant with Chylous Ascites and Chylous Hydrocele
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Chyle only occurs in the peritoneal cavity or around the pericardium through damage to the lymph nodes or improper drainage of the lymph and is characterized by a colostrum-like color and being rich in triglyceride. We encountered a case of a newborn infant with abdominal distention and further diagnosed chylous ascites and hydrocele by inspecting and analyzing the fluid obtained from the abdominal cavity and scrotum. Additionally, a lymphoscintigraphy was performed, which showed a decrease in the uptake of radioactive isotopes in the left iliac nodes and a delayed appearance. Here, we report a case of chyle diagnosed through puncture analysis and its subsequent successful treatment.
Abstract
Chyle only occurs in the peritoneal cavity or around the pericardium through damage to the lymph nodes or improper drainage of the lymph and is characterized by a colostrum-like color and being rich in triglyceride. We encountered a case of a newborn infant with abdominal distention and further diagnosed chylous ascites and hydrocele by inspecting and analyzing the fluid obtained from the abdominal cavity and scrotum. Additionally, a lymphoscintigraphy was performed, which showed a decrease in the uptake of radioactive isotopes in the left iliac nodes and a delayed appearance. Here, we report a case of chyle diagnosed through puncture analysis and its subsequent successful treatment.
참고문헌 (18)
- Cardenas A, "Chylous ascites", Am J Gastroenterol, 97, pp.1896~1900 (2002)
- Press OW, "Evaluation and management of chylous ascites", Ann Intern Med, 96, pp.358~364 (1982)
- Smeltzer DM, "Primary lymphatic dysplasia in children: chylothorax, chylous ascites, and generalized lymphatic dysplasia", Eur J Pediatr, 145, pp.286~292 (1986)
- Browse NL, "Aetiology and treatment of chylous ascites", Br J Surg, 79, pp.1145~1150 (1992)
- Steinemann DC, "Atraumatic chylous ascites: systematic review on symptoms and causes", J Am Coll Surg, 212, pp.899~905 (2011)
- Aalami OO, "Chylous ascites: a collective review", Surgery, 128, pp.761~778 (2000)
- Runyon BA, "The opacity of portal hypertension-related ascites correlates with the fluid's triglyceride concentration", Am J Clin Pathol, 96, pp.142~143 (1991)
- Witte CL, "Advances in imaging of lymph flow disorders", Radiographics, 20, pp.1697~1719 (2000)
- Bengtsson BOS, "Neonatal lymphatic (chylous) disorders", Neoreviews, 14, pp.e600~e612 (2013)
- Uriz J, "Pathophysiology, diagnosis and treatment of ascites in cirrhosis", Baillieres Best Pract Res Clin Gastroenterol, 14, pp.927~943 (2000)
- Weinstein LD, "Chylous ascites: management with medium-chain triglycerides and exacerbation by lymphangiography", Am J Dig Dis, 14, pp.500~509 (1969)
- Ohri SK, "The management of postoperative chylous ascites: a case report and literature review", J Clin Gastroenterol, 12, pp.693~697 (1990)
- 김지수, "Ileal Atresia Presenting with Massive Chylous Ascites and Hydrocele in a Newborn", Perinatology, 28(2), pp.69~73 (2017), 대한주산의학회
- Shibasaki J, "Evaluation of lymphatic dysplasia in patients with congenital pleural effusion and ascites using indocyanine green lymphography", J Pediatr, 164, pp.1116~1120 (2014)
- Au M, "Successful use of somatostatin in a case of neonatal chylothorax", J Pediatr Surg, 38, pp.1106~1107 (2003)
- Huang Y, "Successful management of congenital chylous ascites in a premature infant using somatostatin analogue", Indian J Pediatr, 78, pp.345~347 (2011)
- Weniger M, "Treatment options for chylous ascites after major abdominal surgery: a systematic review", Am J Surg, 211, pp.206~213 (2016)
- 윤영미, "A Case of Congenital Lymphatic Dysplasia Complicated by Hydrops Fetalis", Neonatal medicine, 24(1), pp.40~44 (2017), 대한신생아학회