Related Experiment Video

Updated: May 24, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
04:14

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

Published on: February 28, 2025

Chylous ascites caused by resection of a choledochal cyst

Tatsuzo Mizukami1, Tadao Okada, Shohei Honda

  • 1Department of 1st Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Japan. t-mizukami@hotmail.co.jp

African Journal of Paediatric Surgery : AJPS
|March 3, 2012
PubMed

Insights

Chylous ascites is a rare complication following pediatric abdominal surgery. This case report highlights successful medical treatment using no fasting for a 10-month-old girl with chylous ascites after choledochal cyst resection.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Surgical Complications

Background:

  • Chylous ascites is an uncommon complication after abdominal surgery in children.
  • Postoperative chylous ascites, particularly after choledochal cyst resection, is exceptionally rare.

Observation:

  • A 10-month-old female infant developed chylous ascites following a Roux-en-Y hepaticojejunostomy for choledochal cyst resection.
  • The patient's condition was successfully managed with conservative medical therapy.

Findings:

  • This case represents the first reported instance of chylous ascites after pediatric choledochal cyst resection treated solely with no fasting.
  • No fasting emerged as a viable therapeutic option when the volume of chylous ascites was minimal.

Implications:

  • No fasting may be a potential treatment strategy for pediatric postoperative chylous ascites after choledochal cyst surgery, especially in cases with low fluid output.
  • This finding contributes to the limited literature on managing this rare surgical complication in infants.

Related Concept Videos

Cholecystitis01:20

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
Ascites01:19

Ascites

DefinitionAscites is the buildup of fluid inside the peritoneal cavity. It occurs when fluid moves out of the vascular system faster than the peritoneal lymphatics can remove it. This fluid shift is most commonly seen in liver cirrhosis but can also appear in several other systemic disorders.EtiologyCirrhosis remains the leading cause of ascites. Other conditions that can contribute include:Heart failureConstrictive pericarditisAbdominal cancersNephrotic syndromeSevere protein–calorie...