Massive Congenital Chylous Ascites in a Nigerian infant: A Case Report

Abstract

Chyle leakage into peritoneal cavity is an uncommon disorder that may present at any age. It has been reported in many parts of the world particularly Europe, North America and Asia. However, reports from other parts like African and South America are virtually non-existent. We report a case of abdominal distension and bilateral giant inguinoscrotal hernia in a 2-day old neonate that presented at the Olabisi Onabanjo University Teaching Hospital, Sagamu. Physical examination and abdominal ultrasonography revealed a massive ascites, among other findings. Peritoneal tap yielded free-flowing fluid that was milky-white in appearance, thus confirming the diagnosis of chylous ascites.


Key Words: Chyloperitoneum, Congenital chylous ascites, Neonatal ascites.


Nig. Medical Practitioner Vol. 44(2) 2003: 26-28