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Congenital chylous ascites: the roles of fibrin glue and CD31
Author(s) -
Densupsoontorn N,
Jirapinyo P,
Aanpreung P,
Laohapensang M,
Parichatikad P
Publication year - 2009
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.2009.01432.x
Subject(s) - chylous ascites , medicine , fibrin glue , lymphangiectasia , lymphatic system , abdominal distension , ligation , chyle , lymphedema , cd31 , surgery , pathology , immunohistochemistry , complication , cancer , breast cancer
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.