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Development of chylous ascites in an infant with ventricular septal defect: a case report

Yoshio Ootaki1, George R Verghese2, Ross M Ungerleider1

  • 11Division of Pediatric Cardiothoracic Surgery,Wake Forest Baptist Health,Winston-Salem,North Carolina,United States of America.

Cardiology in the Young
|June 2, 2016
PubMed

Insights

Chylous ascites, a rare condition in infants with congenital heart disease (CHD), requires prompt recognition. Early diagnosis and management of chylous ascites are crucial for timely cardiac surgery.

Area of Science:

  • Pediatric Cardiology
  • Neonatal Medicine
  • Surgical Gastroenterology

Background:

  • Congenital heart disease (CHD) encompasses a range of structural abnormalities present at birth.
  • Chylous ascites, characterized by lymphatic fluid accumulation in the abdomen, is an uncommon complication in infants.
  • The interplay between chylous ascites and CHD necessitates careful clinical evaluation.

Observation:

  • This case report details a 4-month-old infant presenting with chylous ascites.
  • The infant had an undiagnosed congenital heart disease (CHD).
  • The ascites were atraumatic in origin.

Findings:

  • Atraumatic chylous ascites were identified in an infant with congenital heart disease (CHD).
  • The presence of chylous ascites complicated the clinical picture.
  • Diagnostic workup confirmed the association between lymphatic fluid and the cardiac anomaly.

Implications:

  • Recognition of chylous ascites is critical for pediatric surgical planning.
  • The management of chylous ascites can directly impact the timing of necessary cardiac surgery.
  • This case highlights the importance of considering rare complications in infants with CHD.

Keywords:
CHDchildpaediatric

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