Resumo

HAURI, Jorge et al. Ascitis quilosa por maltrato. Arch. argent. pediatr. [online]. 2004, vol.102, n.2, pp.128-131. ISSN 0325-0075.

Chylous ascites is the accumulation of chylous fluid in the peritoneal cavity. It can be primary (congenital) or secondary (acquired), due to trauma or obstruction. We present a child who developed a chylous ascites resulting from child abuse. This one year old female infant was admitted to our hospital with suspicion of child abuse syndrome and abdominal distention. Laboratory tests, radiographic examination and paracenthesis showed the presence of chylous fluid in the abdomen. Complementary exams confirmed the diagnosis of abdominal trauma secondary to child abuse. The outcome was good; the girl underwent fasting and parenteral nutrition for one month, and refeeding with a low fat diet. In this case, paracenthesis has shown to be useful for the differential diagnosis of ascites of unknown origin, as well as treatment with parenteral nutrition and fasting.

Palavras-chave : Chylous ascites; Child abuse.

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