Recurrent chylous ascites associated with intestinal malrotation and lymphatic rupture

An 11-yr-old female with abdominal distension since birth, underwent four operations because of intractable and debilitating chylous ascites. The curative procedure consisted of preoperative ingestion of the lipophilic dye, a secondary Ladd's procedure, lysis of extensive adhesions, and ligation of an easily identifiable ruptured lymphatic.