Successful management of congenital chyloperitoneum with fibrin glue
Brice Antao1, David Croaker, Roly Squire
1Department of Paediatric Surgery, St James's University Hospital, Leeds, England, UK.
Insights
Fibrin glue successfully treated persistent congenital chyloperitoneum in a child. This offers an effective alternative to conventional treatments for chylous ascites in pediatric patients.
Area of Science:
- Pediatric surgery
- Gastroenterology
- Neonatal care
Background:
- Chylous ascites, characterized by lymphatic fluid accumulation in the abdomen, presents a significant challenge in pediatric care.
- Traditional management strategies for persistent congenital chyloperitoneum include dietary modifications, medical therapies, and surgical interventions.
Observation:
- A case study involving a child with persistent congenital chyloperitoneum is presented.
- The condition proved refractory to standard treatment modalities.
Findings:
- Successful resolution of chylous ascites was achieved through the intraoperative application of fibrin glue.
- This minimally invasive approach targeted the lymphatic leakage effectively.
Implications:
- Fibrin glue application represents a promising and potentially less invasive alternative for managing congenital chyloperitoneum.
- Further research may validate fibrin glue as a standard therapeutic option, improving outcomes for children with chylous ascites.
Abstract:
Chylous ascites in children has been treated in a variety of ways, including a low-fat diet, medium chain triglycerides, diuretics, total parental nutrition, surgical exploration, and internal peritoneo-venous shunting. The authors describe a child with persistent congenital chyloperitoneum treated successfully with the application of fibrin glue and recommend this as an effective alternative to traditional approaches.
