Successful Treatment of Congenital Chyloperitoneum with Platelet-Rich Fibrin Glue

authors:

avatar Marjan Joudi 1 , avatar Daryoush Hamidi Alamdari 2 , * , avatar Hamid-Reza Rahimi 3


how to cite: Joudi M, Hamidi Alamdari D, Rahimi H. Successful Treatment of Congenital Chyloperitoneum with Platelet-Rich Fibrin Glue. Iran J Pediatr. 2013;23(3): 357-359. 

Abstract

Background: Congenital chyloperitoneum is an uncommon clinical condition. A few cases of congenital chyloperitoneum in children have been described who were treated in a variety of methods.
Case Presentation: Congenital chyloperito was diagnosed in a 5-day-old baby boy with a significant abdominal distension. Due to the failed conservative managements by medium-chain triglycerides (MCT) enriched milk and partial parenteral nutrition (PPN), the authors tried platelet rich fibrin glue (PRFG) as an alternative choice which was applied through an already inserted intra-abdominal catheter. PRFG successfully stopped the lymph leakage from all over the small intestinal mesentery;  thereby PRFG may be considered as an effective alternative treatment before surgical intervention.
Conclusion: Applying PRFG is an easy, safe, and effective alternative option that may be used to close the chylous ascites lymph leakage in children if conservative management with PPN fails.
 

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