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European Journal of Pediatrics

, Volume 151, Issue 3, pp 213–214 | Cite as

Chylous ascites: total parenteral nutrition as primary therapeutic modality

  • P. Alliët
  • C. Young
  • E. Lebenthal
Neonatology

Abstract

A female infant with Down syndrome and congenital chylous ascites presented at birth with respiratory distress secondary to marked abdominal distension. Total parenteral nutrition (TPN) and paracentesis were the primary therapeutic modality. On hyperalimentation, however, ascites initially recurred, requiring additional paracenteses to improve respiratory distress. The chylous ascites, lymphopenia and hypoalbuminemia were relieved after 10 weeks of TPN administration. We recommend a long-term course (10 weeks) of TPN before an exploratory laparatomy and possible surgical intervention are considered.

Key words

Down syndrome Chylous ascites Total parenteral nutrition 

Abbreviation

TPN

total parenteral nutrition

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Copyright information

© Springer-Verlag 1992

Authors and Affiliations

  • P. Alliët
    • 1
  • C. Young
    • 1
  • E. Lebenthal
    • 2
  1. 1.Division of Gastro-enterology and NutritionChildren's HospitalBuffaloUSA
  2. 2.Department of PediatricsHahnemann School of MedicinePhiladelphiaUSA

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