title: Congenital chylous ascites treated successfully with MCT-Based formula and octreotide.
abstract: Medium chain triglyceride (MCT)-based diet, total parenteral nutrition (TPN) and repeated paracentesis are considered as supportive management for congenital chylous ascites (CCA). TPN is considered where therapy with oral MCT is poorly tolerated by the patient especially young infant with unstable hemodynamic. Surgery is recommended when medical therapy fails. Herein, we report a 2½-month-old infant with CCA, treated successfully with octreotide intravenous infusion after the initial failure to response to conventional conservative therapy with MCT-enriched formula and paracentesis.
authors.affiliation: Department of Paediatric Medicine, Nil Ratan Sircar Medical College and Hospital, Acharya Jagadish Chandra Bose Road, Kolkata, West Bengal, India.
authors.forename: Radheshyam
authors.initials: R
authors.lastname: Purkait
authors.affiliation: Department of Paediatric Medicine, Nil Ratan Sircar Medical College and Hospital, Acharya Jagadish Chandra Bose Road, Kolkata, West Bengal, India.
authors.forename: Ashis
authors.initials: A
authors.lastname: Saha
authors.affiliation: Department of Paediatric Medicine, Nil Ratan Sircar Medical College and Hospital, Acharya Jagadish Chandra Bose Road, Kolkata, West Bengal, India.
authors.forename: Isita
authors.initials: I
authors.lastname: Tripathy
authors.affiliation: Department of Paediatric Medicine, Nil Ratan Sircar Medical College and Hospital, Acharya Jagadish Chandra Bose Road, Kolkata, West Bengal, India.
authors.forename: Birendranath
authors.initials: B
authors.lastname: Roy
keywords: Congenital chylous ascites; MCT-based formula; octreotide infusion