SUCCESSFUL SURGICAL TREATMENT OF A NEWBORN WITH CHYLOPERITONEUM

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Abstract


The article describes clinical observation of treatment of a premature infant with chyloperitoneum. Accumulation of fluid in the abdominal cavity was diagnosed prenatally at 31–32 weeks of gestation. Premature surgical delivery was performed at 34– 35 weeks due to the high risk of antenatal fetal death. Paracentesis with fluid analysis was done; chylous exudate was confirmed. Total parenteral nutrition, octreotide and drainage of the abdominal cavity were used during conservative treatment. It was decided to perform a surgery as the therapy was ineffective. At the age of 2 months and 7 days laparotomy was conducted, abdominal organs were revised, lymph ducts were ligated, and abdominal cavity was drained producing a positive effect. The fluid outflow was terminated and the child was discharged in a satisfactory condition.


About the authors

Yu. I. Kucherov

G. N. Speransky City Children’s Hospital № 9, Moscow;
Pirogov Russian National Research Medical University (RNRMU), Moscow

Author for correspondence.
Email: ykucherov@mail.ru

Russian Federation

Dr. Sci(Med), Professor of the Department of Pediatric Surgery of the Pirogov Russian National Research Medical University (RNRMU);

Head of the Department of Emergency Surgery of the G. N. Speransky City Children’s Hospital № 9

N. V. Kholodnova

G. N. Speransky City Children’s Hospital № 9, Moscow

Email: kholodnova.natalia@gmail.com

Russian Federation Neonatologist of the 8th Infectious Diseases Department for Newborn G. N. Speransky City Children’s Hospital № 9

S. R. Adleiba

G. N. Speransky City Children’s Hospital № 9, Moscow;
Pirogov Russian National Research Medical University (RNRMU), Moscow

Email: saidanczd@mail.ru

Russian Federation

Junior Researcher, Department of Pediatric Surgery of the Pirogov Russian National Research Medical University (RNRMU);

5th pediatric surgical department of the G. N. Speransky City Children’s Hospital № 9

A. L. Belaya

G. N. Speransky City Children’s Hospital № 9, Moscow

Email: annabelaia.dgkb9@mail.ru

Russian Federation Neonatologist of the 8th Infectious Diseases Department for Newborn G. N. Speransky City Children’s Hospital № 9

L. M. Makarova

G. N. Speransky City Children’s Hospital № 9, Moscow

Email: makarova.inf8@yandex.ru

Russian Federation Neonatologist of the highest category, head of the 8th Infectious Diseases Department for Newborns of G. N. Speransky City Children’s Hospital № 9

M. A. Ovsiannikova

G. N. Speransky City Children’s Hospital № 9, Moscow

Email: marinaovs86@mail.ru

Russian Federation Neonatologist of the 8th Infectious Diseases Department for Newborn G. N. Speransky City Children’s Hospital № 9

Yu. V. Zhirkova

G. N. Speransky City Children’s Hospital № 9, Moscow;
Pirogov Russian National Research Medical University (RNRMU), Moscow

Email: zhirkova@mail.ru

Russian Federation

Dr. Sci(Med), professor, head of the educational department of the Department of Pediatric Anesthesiology and Intensive Therapy of the Pirogov Russian National Research Medical University (RNRMU);

anesthesiologist G. N. Speransky City Children’s Hospital № 9

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