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Refractory Congenital Chylous Ascites

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Abstract

Refractory congenital chylous ascites (CCA) is an uncommon clinical condition. Few cases have been described and no gold standard treatment has been defined so far. This report describes a case of refractory CCA in a newborn child which was treated by surgery. Preoperative lower-limb lymphoscintigraphy associated with intraoperative patent blue testing and fibrin glue application were useful in order to provide a successful outcome.

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Contributions

AAMF was involved in surgical treatment, collection of data and the writing of the brief. IJNS was involved in searching and compiling literature. CACL and RDL were involved in diagnosis and clinical management of the child. JHFC was involved in surgical treatment and provided the information in regard to fibrin glue application. JMSC provided valuable inputs about preoperative lower-limb lymphoscintigraphy and intraoperative patent blue testing.

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Authors and Affiliations

  1. Department of Surgery, Medical School, Federal University of Ceará (UFC), Rua Professor Costa Mendes, 1608, 3° andar, Rodolfo Teófilo, CEP: 60430-140, Fortaleza, Ceará, Brazil

    Antônio Aldo Melo-Filho

  2. Pediatric Gastroenterology Service, Walter Cantídio University Hospital, Federal University of Ceará (UFC), Fortaleza, Ceará, Brazil

    Ivana Jesus Nogueira Souza, Christiane Araújo Chaves Leite & Robério Dias Leite

  3. Pediatric Surgery Service, Albert Sabin Pediatric Hospital, Fortaleza, Ceará, Brazil

    João Henrique Freitas Colares

  4. Nuclear Medicine Service, Cancer Hospital/Ceará Cancer Institute (HC/ICC), Fortaleza, Ceará, Brazil

    Júlio Marcus Sousa Correia

Authors
  1. Antônio Aldo Melo-Filho
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  2. Ivana Jesus Nogueira Souza
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  3. Christiane Araújo Chaves Leite
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  4. Robério Dias Leite
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  5. João Henrique Freitas Colares
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  6. Júlio Marcus Sousa Correia
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Corresponding author

Correspondence to Antônio Aldo Melo-Filho.

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Melo-Filho, A.A., Souza, I.J.N., Leite, C.A.C. et al. Refractory Congenital Chylous Ascites. Indian J Pediatr 77, 1335–1337 (2010). https://doi.org/10.1007/s12098-010-0193-z

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  • DOI: https://doi.org/10.1007/s12098-010-0193-z

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