title: Chylous ascites caused by resection of a choledochal cyst.
abstract: Chylous ascites is a rare complication of abdominal surgery in children. Particularly, reports of postoperative chylous ascites are rare. This report describes the very rare case of a 10-month-old girl complicated by chylous ascites after resection of a choledochal cyst with a Roux-en-Y hepaticojejunostomy, who was successfully treated medically. To date, we have found a few cases of postoperative chylous ascites in the paediatric literature. To the best of our knowledge, this is the first report of chylous ascites after the resection of a choledochal cyst in a child who was successfully treated solely by no fasting. No fasting might be a therapeutic option of paediatric postoperative chylous ascites after the resection of a choledochal cyst if the outflow volume of chylous ascites is small.
authors.affiliation: Department of 1st Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Japan. t-mizukami@hotmail.co.jp
authors.forename: Tatsuzo
authors.initials: T
authors.lastname: Mizukami
authors.forename: Tadao
authors.initials: T
authors.lastname: Okada
authors.forename: Shohei
authors.initials: S
authors.lastname: Honda
authors.forename: Hisayuki
authors.initials: H
authors.lastname: Miyagi
authors.forename: Masashi
authors.initials: M
authors.lastname: Minato
authors.forename: Satoru
authors.initials: S
authors.lastname: Todo
mesh_terms: D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects*; D015529:Choledochal Cyst / Q000601:surgery*; D002915:Chylous Ascites / Q000209:etiology*; D005260:Female; D006801:Humans; D007223:Infant; D007582:Jejunostomy; D008099:Liver / Q000601:surgery