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Journal of Pediatric Surgery
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    • Barrett, AM1
    • Griselli, Massimo1

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    • Chylous ascites1
    • Congenital venous thrombosis1
    • Factor V Leiden mutation1

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    • Rapid Communication

      Congenital extensive central venous thrombosis with chylous ascites and chylothoraces

      Journal of Pediatric Surgery
      Vol. 48Issue 2e5–e8Published in issue: February, 2013
      • Ramnik Patel
      • Massimo Griselli
      • A.M. Barrett
      Cited in Scopus: 8
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        We describe a case of congenital extensive central venous thrombosis presenting as polyhydramnios and massive ascites, requiring amnioreduction prenatally and refractory chylous ascites and chylothoraces postnatally. Echocardiography, computed tomography angiogram (CTA), and magnetic resonance venogram (MRV) were helpful in defining the nature and extent of the lesion. The patient underwent staged procedures of repeated abdominal paracentesis, chest drain insertion, and right internal jugular vein exploration initially.
        Congenital extensive central venous thrombosis with chylous ascites and chylothoraces
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