Özet:

Chylous ascites is a rare clinical condition occurring as the result of the extravasation of the chyle into the peritoneal cavity and caused by numerous factors. The most common cause of underlying pathologies are lymphatic vessel disorders. Owing to the lack of the therapeutic and diagnostic standards, individual therapy seems to be extremely important. Octreotide administration, total parenteral nutrition and a diet rich in medium-chain triglycerides constitute first step of the treatment, but surgical intervention may be performed in case of failure of the medical treatment. In literature, there is only one neonate with refractory generalized lymphangiectasia who is treated with propranolol. A newborn baby was admitted to our clinic after delivery due to nonimmune hydropsfetalis and he was diagnosed as lymphangiectasia with lymphoscintigraphy. Herein, we describe the use of propranolol in the therapy of lymphangiectasia in an infant with refractory chylous ascites.

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