medigraphic.com
Órgano Oficial del Instituto Nacional de Pediatría

2011, Number 2

<< Back Next >>

Acta Pediatr Mex 2011; 32 (2)

Chylous ascitis caused by physical trauma. Report of a case and review of the literature

Baeza-Herrera C, Cortés-García R, Martínez-Leo B, Arcos-Aponte A, García-Cabello LM

Language: Spanish
References: 19
Page: 130-135
PDF size: 329.29 Kb.


ABSTRACT

Introduction. Chylous ascites is an extremely rare and often unrecognized complication of abdominal trauma in patients with the battered child syndrome. The treatment of this condition has traditionally been nonsurgical, but the success rate is not always satisfactory.
Case report. We present an eight month old child who developed a chylous ascites resulting from child abuse. This male infant was admitted to our hospital with the suspicion of a battered child syndrome based on the presence of abdominal distention. The patient had a bilateral humeral fracture, right radius and bilateral left forearm fractures.
Discussion. We emphasize the importance of an early diagnosis and of a surgical treatment. This is case number nine in literature.


REFERENCES

  1. Whittlesey HR, Riker LW. Chylous ascites in childhood. Report of five cases. Ann Surg 1955;142:1013-20.

  2. Calkins MC, Moore EE, Huerd S, Pattern R. Isolated rupture of the cisterna chyli after blunt trauma. J Pediatr Surg 2000;35:638-40.

  3. Prosper B, Strear C, Knudson MM, Neal C, Coutter K, Villareal S. Posttraumatic chylous ascites in a child: Recognition and management of an unusual condition. J Trauma-Injury, Infect Crit Care 1995;39:1175-7.

  4. Beal LA, Gormley MC, Gordon LD, Ellis MCC. Chylous ascites: A manifestation of blunt abdominal trauma in an infant. J Pediatr Surg 1998;33:650-2.

  5. Cochran JW, Klish JW, Brown RM, Lyons MJ, Curtis T. Chylous ascites in infants and children: A case report and literature review. J Pediatr Gastroenterol Nutr 1985;4:668-73.

  6. Hauri J, Pelusso H, Perli D, Pujol J, Miraglia L, Malvasso R. Ascitis quilosa por maltrato. Arch Argent Pediatr 2004;102:128- 31.

  7. Hilfer CL, Holgersen LO. Massive chylous ascites and transected pancreas secondary to child abuse: Successful nonsurgical management. Pediatr Radiol 1995;25:117-9.

  8. Cárdenas A, Chopra S. Chylous ascites Am J Gastroenterol 2002;97:1896-900.

  9. Maurer CA, Wildi S, Muller MF, Baer HU, Cuchler MW. Blunt abdominal trauma causing chyloretroperitoneum. J Trauma-Injury Infect, Crit Care 1997;43:696-7.

  10. Holcomb WG, Gheissari A, Shorter AN, O´Neill AJ. Chylous peritonitis in children: Case report and literature review. J Pediatr Gastroenterol Nutr 1990;10:114-6.

  11. Stormo AC, Anastasi GW, Wertheimer HM, Roger CE. Traumatic chylous ascites. Arch Surg 1966;92:115-7.

  12. Pearl J, Joyner J, Collins DL. Chylous ascites: The first reported surgical cure by direct ligation. J Pediatr Surg 1977;12:687-91.

  13. Boysen EB. Chylous ascites. Manifestations of the battered child syndrome. Am J Dis Child 1975;129:1338-9.

  14. Besson R, Gottrand F, Saulnier P, Giard H, Debeugny P. Traumatic chylous ascites: Conservative management J Pediatr Surg 1992;27:1543.

  15. Man DWK, Spitz L. The management of chylous ascites in children. J Pediatr Surg 1985;20:72-5.

  16. Matsufugi H, Nishio T, Hosoya R. Successful treatment for intractable chylous ascites in a child using a peritoneal shunt. Pediatr Surg Int 2006;22:471-3.P

  17. Dillard PR, Stewart GA. Total parenteral nutrition in the management of traumatic chylous ascites in infancy. Clin Pediatr 1985;24:290-2.

  18. Olazagasti CJ, Fitzgerald FJ, White JS, Chong KFW. Chylous ascites: A sign of unsuspected child abuse. Pediatrics 1994;94:737-9.

  19. Vollman WR, Keenan JW, Eraklis JA. Post-traumatic chylous ascites in infancy. New Engl J Med 1966;275:875-7.




2020     |     www.medigraphic.com