Congenital chylous ascites: the roles of fibrin glue and CD31

A 6‐month‐old male infant who presented with abdominal distension and congenital chylous ascites was diagnosed. He was initially refractory to conservative therapy, and then was completely cured with ligation of megalymphatics and fibrin glue application. Immunoperoxidase staining for CD31 on the bi...

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Bibliographic Details
Published in:Acta Paediatrica 2009-11, Vol.98 (11), p.1847-1849
Main Authors: Densupsoontorn, N, Jirapinyo, P, Aanpreung, P, Laohapensang, M, Parichatikanond, P
Format: Article
Language:English
Subjects:
Abdomen
Biological and medical sciences
CD31
Chylous Ascites - congenital
Chylous Ascites - surgery
Congenital chylous ascites
Fibrin glue
Fibrin Tissue Adhesive
Gastroenterology. Liver. Pancreas. Abdomen
General aspects
Humans
Immunoenzyme Techniques
Infant
Ligation - methods
Lymphangiectasia
Lymphangiectasis, Intestinal - diagnosis
Lymphangiectasis, Intestinal - surgery
Lymphatic Vessels - surgery
Male
Medical sciences
Medium-chained triglyceride
Other diseases. Semiology
Peritoneum - pathology
Platelet Endothelial Cell Adhesion Molecule-1 - analysis
Retroperitoneal Space
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Summary:A 6‐month‐old male infant who presented with abdominal distension and congenital chylous ascites was diagnosed. He was initially refractory to conservative therapy, and then was completely cured with ligation of megalymphatics and fibrin glue application. Immunoperoxidase staining for CD31 on the biopsied peritoneal tissues highlighted the lining cells of lymphatic spaces, which indicated lymphangiectasia. Conclusion: This case emphasizes the effectiveness of lymphatic ligation of the retroperitoneal megalymphatics in conjunction with fibrin glue application to cure congenital lymphangiectasia.
ISSN:0803-5253
1651-2227
DOI:10.1111/j.1651-2227.2009.01432.x