Congenital chylous ascites: the roles of fibrin glue and CD31.
A 6-month-old male infant who presented with abdominal distension and congenital chylous ascites was diagnosed. He was initially refractory to conservative therapy, and then was completely cured with ligation of megalymphatics and fibrin glue application. Immunoperoxidase staining for CD31 on the biopsied peritoneal tissues highlighted the lining cells of lymphatic spaces, which indicated lymphangiectasia.


CONCLUSIONS
This case emphasizes the effectiveness of lymphatic ligation of the retroperitoneal megalymphatics in conjunction with fibrin glue application to cure congenital lymphangiectasia.
Densupsoontorn
N
N
Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. sinds@mahidol.ac.th
Jirapinyo
P
P
Aanpreung
P
P
Laohapensang
M
M
Parichatikanond
P
P
D002915:Chylous Ascites / Q000151:congenital* / Q000601:surgery; D015718:Fibrin Tissue Adhesive; D006801:Humans; D007124:Immunoenzyme Techniques; D007223:Infant; D008026:Ligation / Q000379:methods; D008201:Lymphangiectasis, Intestinal / Q000175:diagnosis / Q000601:surgery*; D042601:Lymphatic Vessels / Q000601:surgery*; D008297:Male; D010537:Peritoneum / Q000473:pathology; D019408:Platelet Endothelial Cell Adhesion Molecule-1 / Q000032:analysis*; D012187:Retroperitoneal Space
D015718:Fibrin Tissue Adhesive; D019408:Platelet Endothelial Cell Adhesion Molecule-1