Therapeutic lymphangiography for refractory post-operative chylous ascites in children: Can a needle replace the knife?

Chylous ascites is a rare but well-known complication following surgeries involving extensive dissection of the retroperitoneal structures. It is noticed in children primarily after oncological resections. Meanwhile, conservative treatment is paramount in its management; refractory cases generally r...

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Main Authors: Sachit Anand (Author), Apoorv Singh (Author), Anjan Kumar Dhua (Author), Vishesh Jain (Author), Minu Bajpai (Author), Priyanka Naranje (Author), Devasenathipathy Kandasamy (Author), Rakesh Kumar (Author)
Format: Book
Published: Elsevier, 2020-10-01T00:00:00Z.
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Summary:Chylous ascites is a rare but well-known complication following surgeries involving extensive dissection of the retroperitoneal structures. It is noticed in children primarily after oncological resections. Meanwhile, conservative treatment is paramount in its management; refractory cases generally require an aggressive approach. A rare case of refractory chylous ascites in a two-year-old boy occurring after excision of recurrent retroperitoneal neuroblastoma is being reported. The child underwent therapeutic lymphangiography with ethiodized oil, as an alternative to surgery, to tackle the refractory post-operative chyle leak. A prompt response was noticed and no recurrence of ascites has been observed during a 15-month follow-up.
Item Description:2213-5766
10.1016/j.epsc.2020.101627