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A case report: Ventriculo-peritoneal Shunt in the Presence of Chylous Ascites—Is It Safe?

Lookup NU author(s): Patrick Mitchell

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Abstract

© 2021, The Author(s), under exclusive licence to Springer Nature Switzerland AG. Congenital chylous ascites (CCA) is a rare condition where there is an accumulation of chyle in the peritoneal cavity. Primary CCA due to dysplastic lymphatics is the most common cause in children. CCA discovered on ventriculopertoneal (VP) shunt insertion following previous myelomeningocele repair has only been described in a single paper before with the authors recommending a VP shunt safe to be sited in the presence of CCA. In this paper, we present a case of CCA in a term neonate with a myelomeningocele and an imperforate anus who underwent the siting of a VP shunt with no adverse effect. We provide an alternative hypothesise suggesting the link between raised intra-abdominal pressure caused by the imperforate anus as the aetiological factor in CCA.

Publication metadata

Author(s): Shumon S, Reehal R, ElGhamry A, Youssef M, Mitchell P

Publication type: Article

Publication status: Published

Journal: SN Comprehensive Clinical Medicine

Year: 2021

Volume: 3

Issue: 7

Pages: 1682-1684

Print publication date: 01/07/2021

Online publication date: 22/04/2021

Acceptance date: 13/04/2021

ISSN (electronic): 2523-8973

Publisher: Springer Nature

URL: https://doi.org/10.1007/s42399-021-00907-2

DOI: 10.1007/s42399-021-00907-2

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