Case of Congenital Chylous Ascites in Which Lymphatic Scintigraphy Was Effective for Determining the Course of Treatment

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  • リンパ管シンチグラフィーが治療方針の決定に有用であった先天性乳び腹水の1例
  • 症例報告 リンパ管シンチグラフィーが治療方針の決定に有用であった先天性乳び腹水の1例
  • ショウレイ ホウコク リンパカン シンチグラフィー ガ チリョウ ホウシン ノ ケッテイ ニ ユウヨウ デ アッタ センテンセイニュウビ フクスイ ノ 1レイ

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Congenital chylous ascites is a rare disease. Conservative treatments, including oral administration of an elemental diet for pediatrics (ED-P) and medium-chain triglyceride (MCT) milk, have been performed to decrease the volumes of total parenteral nutrition and lymphatic discharge. When conservative treatment is inadequate, surgical treatment is selected. However, the effective terms of conservative treatment have not been confirmed and it is difficult to identify the region of lymphatic discharge during the operation. We report a case of congenital chylous ascites in which sequential lymphatic scintigraphy using 99mTc-HAS (human serum albumin) confirmed the changes in lymphatic discharge volume and the patency of the thoracic duct.

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