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A case report: Ventriculo-peritoneal Shunt in the Presence of Chylous Ascites—Is It Safe?

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Abstract

Congenital chylous ascites (CCA) is a rare condition where there is an accumulation of chyle in the peritoneal cavity. Primary CCA due to dysplastic lymphatics is the most common cause in children. CCA discovered on ventriculopertoneal (VP) shunt insertion following previous myelomeningocele repair has only been described in a single paper before with the authors recommending a VP shunt safe to be sited in the presence of CCA. In this paper, we present a case of CCA in a term neonate with a myelomeningocele and an imperforate anus who underwent the siting of a VP shunt with no adverse effect. We provide an alternative hypothesise suggesting the link between raised intra-abdominal pressure caused by the imperforate anus as the aetiological factor in CCA.

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References

  1. Albaghdady A, El-Asmar KM, Moussa M, Abdelhay S. Surgical management of congenital chylous ascites. Ann Pediatr Surg. 2018;14(2):56–9.

    Article  Google Scholar 

  2. Bhardwaj R, Vaziri H, Gautam A, Ballesteros E, Karimeddini D, Wu GY. Chylous Ascites: A review of pathogenesis, diagnosis and treatment. J Clin Translat Hepatol. 2018;6(1):105–13.

    Article  Google Scholar 

  3. Göçmen A, Avcı ME, Şanlıkan F, Uçar MG. Four cases of chylous ascites following robotic gynecologic oncological surgery. Case Rep Obstet Gynecol. 2014;2014.

  4. Tubbs RS, Tyler-Kabara EC, Wellons JC, Blount JP, Oakes WJ. Unusual findings during abdominal placement of a ventriculoperitoneal shunt: report of three cases. J Neurosurg Pediatr. 2005;102(4):423–5.

    Article  Google Scholar 

  5. Su IC, Chen CM. Spontaneous healing of retroperitoneal chylous leakage following anterior lumbar spinal surgery: a case report and literature review. Eur Spine J. 2007;16(3):332–7.

    Article  Google Scholar 

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  1. Department of Neurosurgery, The Royal Victoria Infirmary, Queen Victoria Rd, Newcastle upon Tyne, NE1 4LP, UK

    Syed Shumon, Rashpal Reehal, Ahmed ElGhamry, Mohamed Youssef & Patrick Mitchell

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  1. Syed Shumon
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  2. Rashpal Reehal
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  3. Ahmed ElGhamry
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  4. Mohamed Youssef
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  5. Patrick Mitchell
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Correspondence to Syed Shumon.

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Shumon, S., Reehal, R., ElGhamry, A. et al. A case report: Ventriculo-peritoneal Shunt in the Presence of Chylous Ascites—Is It Safe?. SN Compr. Clin. Med. 3, 1682–1684 (2021). https://doi.org/10.1007/s42399-021-00907-2

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  • DOI: https://doi.org/10.1007/s42399-021-00907-2

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