CASE REPORT |
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Year : 2014 | Volume
: 19
| Issue : 3 | Page : 175-177 |
Congenital chylous ascites treated successfully with MCT-Based formula and octreotide
Radheshyam Purkait, Ashis Saha, Isita Tripathy, Birendranath Roy
Department of Paediatric Medicine, Nil Ratan Sircar Medical College and Hospital, Acharya Jagadish Chandra Bose Road, Kolkata, West Bengal, India
Correspondence Address:
Radheshyam Purkait Department of Paediatric Medicine, Nil Ratan Sircar Medical College and Hospital, Kolkata - 700 014, West Bengal India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0971-9261.136480
Medium chain triglyceride (MCT)-based diet, total parenteral nutrition (TPN) and repeated paracentesis are considered as supportive management for congenital chylous ascites (CCA). TPN is considered where therapy with oral MCT is poorly tolerated by the patient especially young infant with unstable hemodynamic. Surgery is recommended when medical therapy fails. Herein, we report a 2-month-old infant with CCA, treated successfully with octreotide intravenous infusion after the initial failure to response to conventional conservative therapy with MCT-enriched formula and paracentesis.
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