Chylous ascites in sibs from a consanguineous marriage

Flores, Samuel; Leungas, Javier; Arredondo‐Vega, F.; Guízar-Vázquez, J; Optiz, John M.

doi:10.1002/ajmg.1320030205

Cited by 7 publications

(6 citation statements)

References 10 publications

(3 reference statements)

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“…Chylous ascites may be the result of the intra-abdominal 'leaky-lymphatics' (5), congenital atresia and maldevelopment of the lymphatic vessels (6,7), intestinal malrotation (8,9), obstructive lesions (10,11), trauma (12,13), nonspecific bacterial, parasitic and tuberculous peritoneal infection (14), liver cirrhosis (15), malignancy (16) and surgical injury (14,15,17,18). Consanguinity is a common feature and the male infants are more liable to this condition (22,23). The pathogenesis of the congenital chylous ascites is poorly understood and genetic factors are assumed to be involved (20,21).…”

Section: Discussionmentioning

confidence: 99%

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Therapeutic management of neonatal chylous ascites: report of a case and review of the literature

et al. 2010

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Medium-chain triglycerides (MCT)-based diet can be tried as a first option in chylous ascites treatment. In resistant or unresponsive cases, somatostatin along with TPN can have use in closing the lymphatic leakage or relieving the symptoms effectively and rapidly. Conventional regimens including enteral feeding with MCT-based formula can then be re-administered as a maintenance treatment after reduction of lymph flow with the use of total parenteral nutrition (TPN) and somatostatin infusion combination. Patient-specific approach should be attempted for chylous ascites caused by various disorders and started as soon as possible.

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Section: Discussionmentioning

confidence: 99%

“…The pathogenesis of the congenital chylous ascites is poorly understood and genetic factors are assumed to be involved (20,21). Consanguinity is a common feature and the male infants are more liable to this condition (22,23). Cases of chylous ascites involving twins have been also reported (24,25).…”

Section: Discussionmentioning

confidence: 99%

Therapeutic management of neonatal chylous ascites: report of a case and review of the literature

et al. 2010

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“…3,12,21 The pathogenesis is poorly understood and genetic factors are discriminated. Consanguinity is a common feature, 22,23 and the male is more liable to the condition. 24 Cases of chylous ascites involving twins have also been reported.…”

Section: Discussionmentioning

confidence: 99%

Congenital Chylous Ascites: Report of Four Cases and Review of the Literature

et al. 2000

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“…In 1979, Flores and colleagues reported the occurrence of an autosomal recessive cases congenital chylous ascites in a brother and sister. The parents were first cousins [8]. About seventy-six cases of congenital chylous ascites were reported during half century from the fifties to the end of the 1990s .…”

Section: Introductionmentioning

confidence: 99%

The Case Number 112 of Congenital Chylous Ascites and Its Successful Treatment

Al-Mosawi¹

2022

BRCR

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Background:Congenital chylous ascites is a very rare condition that has been well recognized as early as the 1950s, and was mostly called “Congenital chyloperitoneum” during that time. Few cases have been reported during the 1960s, and in 1967, Craven et al attributed the development of congenital chylous ascites to obstruction of the cisterna chyli and chylous reflux into the peritoneal space and small intestine and they demonstrated lymphangiographically. Patients and methods: The use of a unique dietary therapy for the treatment of congenital chylous ascites is briefly described and the relevant literature is described. Results:An infant with congenital chylous ascites was seen at about the age of two and half months. He was initially treated with intravenous somatostatin infusion, and thereafter by repeated paracentesis, and continued to receive breast and bottle milk feedings. However, when he was first seen, ultrasound was still showing moderate ascites. The boy was successfully treated a combination of a unique form of very low-fat diet and octreotide acetate subcutaneous injections. Treatment was not associated with a negative effect on growth or development, and no evidence of nutritional deficiency was observed. Conclusion: The case number 112 of congenital chylous ascites is reported and its unique therapeutic approach is described.

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Chylous ascites in sibs from a consanguineous marriage

Abstract: We report a brother and sister with congenital chylous ascites. Parents were first cousins, and autosomal recessive inheritance may be the cause of the condition in these sibs.

Cited by 7 publications

References 10 publications

Therapeutic management of neonatal chylous ascites: report of a case and review of the literature

Therapeutic management of neonatal chylous ascites: report of a case and review of the literature

Congenital Chylous Ascites: Report of Four Cases and Review of the Literature

The Case Number 112 of Congenital Chylous Ascites and Its Successful Treatment

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