The case here reported is that of an infant who had a condition which is infrequently met with, namely, congenital chylous ascites. In the review by Wallis and Schollberg1 of 171 reported cases of milky ascites, no congenital case is mentioned, and only 3 patients were under 1 year of age. In an analysis of 128 reported cases by Boston,2 there was only a single case reported as congenital, and 6 patients were under 1 year of age.
After searching in available literature at considerable length, I concluded that my patient must be by far the youngest ever subjected to the procedure of venous-peritoneal anastomosis, and since the procedure brought apparent clinical cure, I deem it worthy to be reported.
No attempt will be made to review the literature on the subject of congenital chylous ascites or to discuss the etiology.
REPORT OF CASE
History.—R. T., a boy,
WEGNER ES. CONGENITAL CHYLOUS ASCITES: APPARENTLY CURED BY ROUTTE'S OPERATION (VENOUS PERITONEAL ANASTOMOSIS). Am J Dis Child. 1934;47(3):586–590. doi:10.1001/archpedi.1934.01960100112013
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