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The management of chylous ascites in children

D W Man, L Spitz

    Journal of Pediatric Surgery
    |February 1, 1985
    PubMed

    Insights

    Surgical treatment using peritoneovenous shunts can resolve chylous ascites in children unresponsive to medical care. One complex case involving carcinomatosis highlights limitations, necessitating further management strategies.

    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Oncology

    Background:

    • Chylous ascites in children often requires intervention when medical management fails.
    • Surgical options are considered for refractory cases.

    Observation:

    • This study presents surgical outcomes for four children with chylous ascites.
    • Peritoneovenous shunts were employed in three patients.
    • A unique case involved a child with mucin-secreting carcinomatosis and chylous ascites.

    Findings:

    • Two of the three patients who received peritoneovenous shunts experienced resolution of chylous ascites.
    • The third patient, with carcinomatosis, did not achieve resolution via the shunt.
    • A literature review of 92 pediatric chylous ascites cases was conducted.

    Implications:

    • Peritoneovenous shunts are a viable surgical option for pediatric chylous ascites.
    • Complex cases, such as those with carcinomatosis, may require alternative or adjunctive management.
    • A proposed management scheme for pediatric chylous ascites is presented based on the findings.

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