Vora Zainab A, Kandasamy Devasenathipathy, Naranje Priyanka, Malik Rohan
Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India.
Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Indian J Radiol Imaging. 2019 Apr-Jun;29(2):226-228. doi: 10.4103/ijri.IJRI_424_18.
Chylous ascites is a form of ascites resulting from the leakage of lymph into the peritoneal cavity, which is particularly rare in children, most common etiology being an iatrogenic injury to lymphatics during surgery. Initial conservative management options include medium-chain triglycerides-based diet, somatostatin analogs, and total parenteral nutrition. If these fail, then interventions such as paracentesis with sclerotherapy, surgical ligation, or peritoneal shunts have been described. This study reports a case of a 7-year-old child with refractory chylous ascites to demonstrate a minimally invasive technique of intranodal lymphangiography with lipiodol as a viable treatment option for chylous ascites in children, particularly in cases of minor and undetectable leaks.
乳糜性腹水是由于淋巴液漏入腹腔而导致的一种腹水形式，在儿童中尤为罕见，最常见的病因是手术期间淋巴管的医源性损伤。初始保守治疗方案包括基于中链甘油三酯的饮食、生长抑素类似物和全胃肠外营养。如果这些方法无效，则可采用诸如穿刺硬化治疗、手术结扎或腹腔分流等干预措施。本研究报告了一例7岁难治性乳糜性腹水患儿的病例，以证明使用碘油进行节点内淋巴管造影的微创技术是治疗儿童乳糜性腹水的一种可行选择，特别是在微小且难以检测到的漏液情况下。
