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A case of primary chylous ascites resolved within 4 months by exclusive breast-feeding

Z Kurugöl1, O Coğulu, K Kavakli

  • 1Department of Pediatrics, Ege University Faculty of Medicine, Izmir, Turkey.

Insights

Chylous ascites in infants is rare. This case showed spontaneous recovery through breastfeeding, resolving the condition without specific medical intervention.

Area of Science:

  • Pediatrics
  • Neonatology
  • Gastroenterology

Background:

  • Chylous ascites is an uncommon condition in infants, characterized by the accumulation of lymphatic fluid in the abdominal cavity.
  • Idiopathic chylous ascites, where no underlying cause is identified, presents diagnostic challenges in neonates.

Observation:

  • A two-month-old male infant presented with diagnosed chylous ascites.
  • Extensive investigations were conducted, but no specific etiology for the condition was identified.
  • The infant was exclusively breastfed throughout the observation period.

Findings:

  • The infant experienced a spontaneous resolution of chylous ascites.
  • Symptoms disappeared completely by six months of age.
  • Recovery occurred without the need for any specific medical or surgical treatment.

Implications:

  • This case highlights the possibility of spontaneous remission in idiopathic infantile chylous ascites.
  • It suggests that exclusive breastfeeding may play a role in the management or resolution of this condition.
  • Further research into the natural history and potential contributing factors of infantile chylous ascites is warranted.

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