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乳糜性腹水作为一名7岁女孩腹部创伤的罕见并发症:一例报告。

Chylous ascites as a rare complication of abdominal trauma in a 7-year-old girl: A case report.

作者信息

Jafari Anahita, Reihani Hamid, Karbasian Fereshteh, Darban Behnaz, Dehghani Seyed Mohsen

机构信息

Gastroenterology and Hepatology Research Center Shiraz University of Medical Sciences Shiraz Iran.

School of Medicine Shiraz University of Medical Sciences Shiraz Iran.

出版信息

Clin Case Rep. 2023 Jul 2;11(7):e7408. doi: 10.1002/ccr3.7408. eCollection 2023 Jul.

DOI:10.1002/ccr3.7408
PMID:37405045
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10315450/
Abstract

KEY CLINICAL MESSAGE

Abdominal trauma can be one of the causes of chylous ascites in pediatric cases, along with tuberculosis and malignancy. However, a definitive diagnosis is more reasonable to be done by excluding other causes.

ABSTRACT

Chylous ascites (CA) is a rare type of ascites. Though it has high mortality and morbidity rates, which usually happen due to the rupture of lymph vessels into the peritoneal cavity. Congenital abnormalities, including lymphatic hypoplasia or dysplasia, are the most causes in pediatrics. CA following trauma in children is very rare, and to the best of our knowledge, there are very few reports in this regard. Here, we report a 7-year-old girl who was referred to our center with CA after a car accident.

摘要

关键临床信息

腹部创伤可能是小儿乳糜性腹水的病因之一,此外还有结核病和恶性肿瘤。然而,通过排除其他病因来做出明确诊断更为合理。

摘要

乳糜性腹水(CA)是一种罕见的腹水类型。尽管其死亡率和发病率较高,通常是由于淋巴管破裂进入腹腔所致。先天性异常,包括淋巴管发育不全或发育异常,是儿科最常见的病因。儿童创伤后发生CA非常罕见,据我们所知,这方面的报道很少。在此,我们报告一名7岁女孩,在车祸后因CA被转诊至我们中心。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbe4/10315450/ca58323cc446/CCR3-11-e7408-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbe4/10315450/27c405f71730/CCR3-11-e7408-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbe4/10315450/ca58323cc446/CCR3-11-e7408-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbe4/10315450/27c405f71730/CCR3-11-e7408-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbe4/10315450/ca58323cc446/CCR3-11-e7408-g002.jpg

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本文引用的文献

1
Review article: the diagnostic approach and current management of chylous ascites.综述文章:乳糜性腹水的诊断方法与当前治疗
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Chylous Ascites: Evaluation and Management.乳糜性腹水:评估与管理
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Management of ascites in children.儿童腹水的管理
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Treatment options for chylous ascites after major abdominal surgery: a systematic review.腹部大手术后乳糜性腹水的治疗选择:一项系统评价
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Chylous ascites: a manifestation of blunt abdominal trauma in an infant.乳糜性腹水:婴儿钝性腹部创伤的一种表现。
J Pediatr Surg. 1998 Apr;33(4):650-2. doi: 10.1016/s0022-3468(98)90337-2.