Chylous ascites following repair of exomphalos major--a report.

In cases of giant omphalocele anterior abdominal wall is so poorly developed that primary closure is not possible without excessive tension. The simplest of innovative strategies in such a situation is to provide epithellalisation of sac with secondary closure of ensuing ventral hernia at a later date. Postsurgical chylous ascites is a known entity and it usually responds with supportive therapy. Chylous ascites as a complication of reparative surgery of exomphalos is rare. Here a case of complete resolution of chylous ascites following conservative therapy who underwent a repair of ventral hernia as a sequela to non-operative treatment of giant omphalocele is reported.