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chylous ascites


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I am looking for some advice regarding treatment for chylous ascites. Term baby delivered at 3.5 kg . Fetal ascites noted by obstetrician also on antenatal scan. Clinically well , no edema, no evidence of hydrops etc.

Now 2 weeks old with no respiratory compromise. Not a lot in the literature.

Thanks

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I have had 2 cases of neonatal ascites (from birth).. The first one was much like your case.. We don't do anything.. Just close observation.. Serial US, the ascites disappeared in 3 months of age.. The mother n baby was IgG positive for CMV, but not IgM..

The other was companied by severe edema and hypoalbuminemia.. It was revealed a spontaneous perforated of distal ileum due to microcolon (long segmen).. Ascites and edema dissappear after albumin infusion and ileostomy.. It has a short bowel syndrome after that.. ;(

Btw, how do you reveal a chilous ascites, do you aspirate them?

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