Abstract
We report a case of an infant with recurrent chylous ascites who was unresponsive
to conventional medical treatment. An exploratory laparotomy revealed no macroscopically
visible sites of lymph leakage that could be ligated. Lymph exudation was noted in
areas near the subhepatic recess and in the lesser sac surrounding the pancreas, which
was not amenable to suture. The treatment consisted of the placement of a hemostatic
mesh composed of oxidized cellulose (Surgicel®) on these areas, with a thin layer
of fibrinogen/thrombin glue over the mesh (Tissucol®). The cellulose mesh allowed
for greater adhesion of the fibrin glue to the diseased tissues. The patient had no
recurrence of ascites and is currently 20 months old, with good weight-height gain, and free of ascites.
Key words
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References
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Article info
Publication history
Accepted:
November 15,
2012
Received in revised form:
November 14,
2012
Received:
July 1,
2012
Identification
Copyright
Published by Elsevier Inc.
