Chylous ascites caused by resection of a choledochal cyst

• Main Authors: Tatsuzo Mizukami, Tadao Okada, Shohei Honda, Hisayuki Miyagi, Masashi Minato, Satoru Todo
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2012-01-01
• Series: African Journal of Paediatric Surgery
• Subjects: Children; choledochal cyst; postoperative chylous ascites
• Online Access: http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2012;volume=9;issue=1;spage=68;epage=70;aulast=Mizukami
• ISSN: 0189-6725; 0974-5998

Chylous ascites is a rare complication of abdominal surgery in children. Particularly, reports of postoperative chylous ascites are rare. This report describes the very rare case of a 10-month-old girl complicated by chylous ascites after resection of a choledochal cyst with a Roux-en-Y hepaticojejunostomy, who was successfully treated medically. To date, we have found a few cases of postoperative chylous ascites in the paediatric literature. To the best of our knowledge, this is the first report of chylous ascites after the resection of a choledochal cyst in a child who was successfully treated solely by no fasting. No fasting might be a therapeutic option of paediatric postoperative chylous ascites after the resection of a choledochal cyst if the outflow volume of chylous ascites is small.