Posted May 23, 201212 yr 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
May 23, 201212 yr Could you give more details. Maternal details if any, Ascitic fluid composition and a little history please?
May 24, 201212 yr 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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