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CASE REPORT Table of Contents   
Year : 2019  |  Volume : 29  |  Issue : 2  |  Page : 226-228
Pediatric chylous ascites treatment with combined ultrasound and fluoroscopy-guided intranodal lymphangiography


1 Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India
2 Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Dr. Devasenathipathy Kandasamy
Room No. 82, Department of Radiodiagnosis, Ground Floor, AIIMS, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijri.IJRI_424_18

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Chylous ascites is a form of ascites resulting from the leakage of lymph into the peritoneal cavity, which is particularly rare in children, most common etiology being an iatrogenic injury to lymphatics during surgery. Initial conservative management options include medium-chain triglycerides-based diet, somatostatin analogs, and total parenteral nutrition. If these fail, then interventions such as paracentesis with sclerotherapy, surgical ligation, or peritoneal shunts have been described. This study reports a case of a 7-year-old child with refractory chylous ascites to demonstrate a minimally invasive technique of intranodal lymphangiography with lipiodol as a viable treatment option for chylous ascites in children, particularly in cases of minor and undetectable leaks.


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