title: Refractory congenital chylous ascites.
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.
authors.affiliation: 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. aamelofilho@gmail.com
authors.forename: Antônio Aldo
authors.initials: AA
authors.lastname: Melo-Filho
authors.forename: Ivana Jesus Nogueira
authors.initials: IJ
authors.lastname: Souza
authors.forename: Christiane Araújo Chaves
authors.initials: CA
authors.lastname: Leite
authors.forename: Robério Dias
authors.initials: RD
authors.lastname: Leite
authors.forename: João Henrique Freitas
authors.initials: JH
authors.lastname: Colares
authors.forename: Júlio Marcus Sousa
authors.initials: JM
authors.lastname: Correia
mesh_terms: D002915:Chylous Ascites / Q000151:congenital* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D004396:Coloring Agents; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use; D006801:Humans; D007231:Infant, Newborn; D011877:Radionuclide Imaging; D012394:Rosaniline Dyes; D014014:Tissue Adhesives / Q000627:therapeutic use
chemical_list: D004396:Coloring Agents; D015718:Fibrin Tissue Adhesive; D012394:Rosaniline Dyes; D014014:Tissue Adhesives; C008769:sulfan blue
references.citation: Pediatr Surg Int. 1997 Apr;12(4):296-8
references.pmid: 9099650
references.citation: J Pediatr Surg. 2001 Nov;36(11):1717-9
references.pmid: 11685710
references.citation: J Pediatr Surg. 2007 May;42(5):E15-8
references.pmid: 17502170
references.citation: Pediatr Surg Int. 1996 Jun;11(5-6):396-7
references.pmid: 24057727
references.citation: Surgery. 1983 Mar;93(3):455-61
references.pmid: 6402824
references.citation: J Pediatr Gastroenterol Nutr. 2008 Apr;46(4):478-81
references.pmid: 18367970
references.citation: Acta Paediatr. 2004 Oct;93(10):1403-5
references.pmid: 15499966