Recurrent chylous ascites associated with intestinal malrotation and lymphatic rupture.
An 11-yr-old female with abdominal distension since birth, underwent four operations because of intractable and debilitating chylous ascites. The curative procedure consisted of preoperative ingestion of the lipophilic dye, a secondary Ladd's procedure, lysis of extensive adhesions, and ligation of an easily identifiable ruptured lymphatic.
D000005:Abdomen; D002648:Child; D002675:Child, Preschool; D002915:Chylous Ascites / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007422:Intestines / Q000002:abnormalities*; D008206:Lymphatic Diseases / Q000150:complications*; D012008:Recurrence; D012422:Rupture, Spontaneous