Neonatal Chylous Ascites Successfully Treated With MCT-Based Formula and Octreotide: A Case Report

Abstract

Neonatal chylous ascites is an anomalous development of intra-abdominal lymphatic duct usually presents as a remedial challenge with symptomatic leaky lymphatics induced either as idiopathic or congenital or traumatic etiologies. In present case, female neonate developed abdominal distention on day 11 of life, just after introduction of enteral feeding. Chylous was diagnosed by paracenthesis and fluid examination. She was treated with TPN and followed by MCT based diet with octreotide. Baby was well tolerated with enteral feed and discharged on pregestimil on day 40 of life. On follow-up, baby had mild parenchymal liver disease with minimal ascites at right hepatic region at 4 months of age, which was completely resolved on 11 months. Discussed case suggests that octreotide with MCT oil based diet after TPN aids in repair of anomalous lymphatic vessel in presented rare instance of chylous ascites.




doi:10.4021/ijcp102e