SavedAdd your journal

Journals / Cukurova Medical Journal / 2018 / Cilt: 43 - Sayı: 1

Chylous ascites: an unusual complication of peritoneal dialysis in an infant with congenital nephrotic syndrome

Konjenital nefrotik sendromlu bir infantta periton diyalizine bağlı olarak görülen nadir bir komplikasyon olarak şiloz asit

Faruk EKİNCİ
Rıza Dinçer YILDIZDAŞ
Özden Özgür HOROZ
Engin MELEK
Ercüment PETMEZCİ
İlknur TOLUNAY
Pages
221–223
Publication Date
2018-03-31
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The chylous ascites resolved at the 5th day of our treatment with a low fat diet with medium chain triglycerides and intravenous infusion of somatostatin analogue (octreotide) and the patient was transferred to the pediatric service for maintenance of the treatment.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Chylous ascites is a rare but important non-infectious complication in patients undergoing peritoneal dialysis.
📊
Key Findings & Data:A male infant of 1.5-month-old with congenital nephrotic syndrome admitted to our pediatric intensive care unit becasue of deterioration in general appearence, diffuse edematous appearance and respiratory distress.
💡
Conclusion & Impact:The chylous ascites resolved at the 5th day of our treatment with a low fat diet with medium chain triglycerides and intravenous infusion of somatostatin analogue (octreotide) and the patient was transferred to the pediatric service for maintenance of the treatment.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Chylous ascites · non-infectious complications · peritoneal dialysis

Abstract

Chylous ascites is a rare but important non-infectious complication in patients undergoing peritoneal dialysis. A male infant of 1.5-month-old with congenital nephrotic syndrome admitted to our pediatric intensive care unit becasue of deterioration in general appearence, diffuse edematous appearance and respiratory distress. Peritoneal catheter insertion and peritoneal dialysis was performed in the 3rd day of hospitalization. Five days after peritoneal dialysis catheter insertion (on the 8th day of hospitalization) the peritoneal dialysis effluent had a milky appearance. The chemical analysis of the milky effluent showed characteristics of chylous ascites: triglycerides 468 mg/dl. The chylous ascites resolved at the 5th day of our treatment with a low fat diet with medium chain triglycerides and intravenous infusion of somatostatin analogue (octreotide) and the patient was transferred to the pediatric service for maintenance of the treatment.

Özet

Şilöz asit; periton diyalizi yapılan hastalarda nadir görülen fakat önemli bir non-enfeksiyöz komplikasyondur. Konjenial nefrotik sendromlu 1,5 aylık erkek hasta genel durumunda kötüleşme, diffüz ödematöz görünüm ve solunum sıkıntısı nedeni ile çocuk yoğun bakım ünitesine kabul edildi. Yatışının üçüncü gününde periton diyaliz kateteri takılarak periton diyalizi uygulanmaya başlandı. Periton diyaliz kateteri takıldıktan beş gün sonra (yatışının sekizinci gününde) diyaliz sıvısı süt görünümü almaya başladı. Süt görünümündeki sıvının biyokimyasal analizi şilöz asit karakteri gösteriyordu: trigliserit 468 mg/dl. Şilöz asit kısa zincirli yağ asitlerinden zengin düşük lipidli diyet ve somatostatin analogu (octreotid) infüzyonu ile tedavinin 5. gününde düzeldi ve hasta tedavinin devamı için pediatri servisine transfer edildi.

🔖

Cite This Article

EKİNCİ, F., YILDIZDAŞ, R. D., HOROZ, Ö. Ö., MELEK, E., PETMEZCİ, E., TOLUNAY, İ. (2018). Chylous ascites: an unusual complication of peritoneal dialysis in an infant with congenital nephrotic syndrome. Cukurova Medical Journal, Cilt: 43 - Sayı: 1, 221–223. https://ajindex.com/articles/134416

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (11)

  1. Aalami OO, Allen DB, Organ CH Jr. Chylous ascites: a collective review. Surgery. 2000;128:761-78
  2. Cheung CK, Khwaja A. Chylous ascites: an unusual complication of peritoneal dialysis. A case report and literature review. Perit Dial Int. 2008;28:229-3
  3. Melnick JZ, McCarty CM, Hunchik MP, Alexander SR. Chylous ascites complicating neonatal peritoneal dialysis. Pediatr Nephrol. 1995;9:753–5
  4. Haan JM, Montgomery S, Novosel TJ, Stein DM, Scalea TM. Chyloperitoneum after blunt abdominal injury. Am Surg. 2007;73:811-3
  5. Passadakis PS, Oreopoulos DG. Peritoneal dialysis in patients with acute renal failure. Adv Perit Dial. 2007;23:7-16
  6. Nodaira Y, Ikeda N, Kobayashi K. Risk factors and cause of removal of peritoneal dialysis catheter in patients on continuous ambulatory peritoneal dialysis. Adv Perit Dial. 2008;24:65–8
  7. Peppelenbosch A, van Kuijk WH, Bouvy ND, van der Sande FM, Tordoir JH. Peritoneal dialysis catheter placement technique and complications. Nephrol Dial Transplant. 2008;4:23-8
  8. Porter J, Wang WM, Oliveira DBG. Chylous ascites and continuous ambulatory peritoneal dialysis. Nephrol Dial Transplant. 1991;6:659–61
  9. Kato A, Kohno S, Ohtake T, Takita T, Hirshida A. Chylous ascites in an adult patient with nephrotic syndrome due to membranous nephropathy. Nephron. 2001;89:361-2
  10. García Falcón T, Rodríguez-Carmona A, Pérez Fontán M, Fernández Rivera C, Bouza P, Rodríguez Lozano I, et al. Complications of permanent catheter implantation for peritoneal dialysis: incidence and risk factors. Adv Perit Dial. 1994;10:206-9
  11. Ramos R, González MT, Moreso F, Castelao AM, Grinyó JM. Chylous ascites: an unusual complication of percutaneous peritoneal catheter implantation. Perit Dial Int. 2006;26:722–3.