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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2019; 29(02): 226-228
DOI: 10.4103/ijri.IJRI_424_18
Case Report

Pediatric chylous ascites treatment with combined ultrasound and fluoroscopy-guided intranodal lymphangiography

Zainab A Vora
Departments of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India
,
Devasenathipathy Kandasamy
Departments of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India
,
Priyanka Naranje
Departments of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India
,
Rohan Malik
Pediatrics, All India Institute of Medical Sciences, New Delhi, India
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Subject Editor: Financial support and sponsorship Nil.
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Abstract

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.

Keywords

Chylous ascites - intranodal lymphangiography - therapeutic


Publication History

Article published online:
22 July 2021

© 2019. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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