ISSN:
1432-1076
Keywords:
Down syndrome
;
Chylous ascites
;
Total parenteral nutrition
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract A female infant with Down syndrome and congenital chylous ascites presented at birth with respiratory distress secondary to marked abdominal distension. Total parenteral nutrition (TPN) and paracentesis were the primary therapeutic modality. On hyperalimentation, however, ascites initially recurred, requiring additional paracenteses to improve respiratory distress. The chylous ascites, lymphopenia and hypoalbuminemia were relieved after 10 weeks of TPN administration. We recommend a long-term course (10 weeks) of TPN before an exploratory laparatomy and possible surgical intervention are considered.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF01954387
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