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Therapeutic lymphangiography for refractory post-operative chylous ascites in children: Can a needle replace the knife?
oleh: Sachit Anand, Apoorv Singh, Anjan Kumar Dhua, Vishesh Jain, Minu Bajpai, Priyanka Naranje, Devasenathipathy Kandasamy, Rakesh Kumar
Format: | Article |
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Diterbitkan: | Elsevier 2020-10-01 |
Deskripsi
Chylous ascites is a rare but well-known complication following surgeries involving extensive dissection of the retroperitoneal structures. It is noticed in children primarily after oncological resections. Meanwhile, conservative treatment is paramount in its management; refractory cases generally require an aggressive approach. A rare case of refractory chylous ascites in a two-year-old boy occurring after excision of recurrent retroperitoneal neuroblastoma is being reported. The child underwent therapeutic lymphangiography with ethiodized oil, as an alternative to surgery, to tackle the refractory post-operative chyle leak. A prompt response was noticed and no recurrence of ascites has been observed during a 15-month follow-up.