Abstract
Congenital chylous ascites (CCA) results from maldevelopment of the intra-abdominal lymphatic system. Newborns present with respiratory distress and abdominal distention. Medical treatment of CCA is often prolonged. A newborn with CCA was treated with octreotide, a somatostatin analogue, resulting in rapid and complete resolution of the ascites.
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Ahren B, Walther B (1989) Reduction of secretion from a small bowel fistula by somatostatin. Acta Chir Scand 155: 205–208
Alliet P, Young C, Lebenthal E (1992) Chylous ascites: total parenteral nutrition as primary therapeutic modality. Eur J Pediatr 70: 213–214
Cochran WJ, Klish WJ, Brown MR, Lyons JM, Curtis T (1985) Chylous ascites in infants and children: a case report and literature review. J Pediatr Gastroentrol Nutr 4: 668–673
Craven CE, Goldman AS, Larson DL, Patterson M, Hendrick CK (1987) Congenital chylous ascites: lymphangiographic demonstration of obstruction of the cisterna chyli and chylous reflux into the peritoneal space and small intestine. J Pediatr 70: 340–345
Hussaini SH, Pereira SP, Murphy GM, Kennedy C, Woss JA, Besser GM, Dowling RH (1995) Composition of gallbladder stones associated with octreotide: response to oral ursodeoxycholic acid. Gut 36: 126–132
Kocak S, Bumin C, Karayalacin K, Alacryir I, Aribal D (1994) Treatment of external biliary, pancreatic and intestinal fistulas with a somatostatin analog. Dig Dis 12: 62–68
Kuret JA, Murad F (1990) Adenohypophyseal hormones and related substances. In: Goodman AG, Rall TW, Nies AS, Taylor P (eds) The pharmacologic basis of therapeutics. Pergamon, New York, pp 1355–1356
Pawlik WW, Gustaw P, Gzarnobilski K, Sendur R, Konturek SJ (1989) Effects of somatostatin on intestinal circulation and oxygen consumption. Acta Physiol Hung 74: 277–283
Smeitzer DM, Stickler GB, Fleming RE (1985) Primary lymphatic dysplasia in children: chylothorax, chylous ascites and generalized lymphatic dysplasia. Eur J Pediatr 145: 286–292
Wales JK (1994) Octreotide treatment associated with adrenal suppression and poor feedings. Arch Dis Child 70: 553–555
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Caty, M.G., Hilfiker, M.L., Azizkhan, R.G. et al. Successful treatment of congenital chylous ascites with a somatostatin analogue. Pediatr Surg Int 11, 396–397 (1996). https://doi.org/10.1007/BF00497824
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DOI: https://doi.org/10.1007/BF00497824