ArticleAuthors: Nguyen Van Tinh, Nguyen Thi Viet Ha (2021)
Congenital chylous ascites is a rare disease that results from abnormal development of the intra-abdominal
lymphatic system. No gold standard treatment has been described so far, however, a combination of medium–chain
triglyceride based diet or total parenteral nutrition along with octreotide and abdominal paracentesis is considered
as a conservative management. This treatment is often a challenge to physicians since chylous ascites is often
refractory and result in malnutrition and immune deficiency because of the loss of proteins and lymphocytes. We
report a four-month old boy with congenital chylous ascites who was refractory to medical treatment with prolonged
bowel re...