International Journal of Celiac Disease
ISSN (Print): 2334-3427 ISSN (Online): 2334-3486 Website: http://www.sciepub.com/journal/ijcd Editor-in-chief: Samasca Gabriel
Open Access
Journal Browser
Go
International Journal of Celiac Disease. 2019, 7(1), 29-30
DOI: 10.12691/ijcd-7-1-5
Open AccessArticle

Celiac Disease as Chylous Ascites in a Child

Ishaq Malik1, , Jan Muzzafar1 and A Omar1

1Department of Pediatrics, Government Medical College Srinagar, Kashmir, India

Pub. Date: March 19, 2019

Cite this paper:
Ishaq Malik, Jan Muzzafar and A Omar. Celiac Disease as Chylous Ascites in a Child. International Journal of Celiac Disease. 2019; 7(1):29-30. doi: 10.12691/ijcd-7-1-5

Abstract

10 year old with no significant history either in the past or family presented with tense ascites, hypochromic microcytic anemia, thrombocytosis and milky fluid with TAG level of 350 mg/dl with a SAAG of >1.1. LFT, chest xray and ascitic fluid ADA were normal. USG abdomen showed fine echoes from peritoneal cavity and normal liver and portal /hepatic veins. endoscopy was done to look for lymphangiectasia but gross morphology of duodenum was suggestive of celiac disease. Normal IgA, high anti TTG, biopsy marsh IIIB and clinical response to gluten free diet confirmed the diagnosis of celiac disease.

Keywords:
chylous ascites celiac disease GFD

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  D. C. Steinemann, D. Dindo, P.-A. Clavien, and A. Nocito, “Atraumatic chylous ascites: systematic review on symptoms.
 
[2]  A. C´ardenas and S. Chopra, “Chylous ascites,” American Journal of Gastroenterology, vol. 97, no. 8, pp. 1896-1900, 2002.
 
[3]  Al-Busafi, S. A., Ghali, P., Deschênes, M., & Wong, P. (2014). Chylous Ascites: Evaluation and Management. ISRN hepatology, 2014, 240473.
 
[4]  H. J. Kaufmann, “Chylous ascites and intestinal muscular hypertrophy occurring in the course of celiac sprue,” American Journal of Digestive Diseases, vol. 20, no. 5, pp. 494-497, 1975.
 
[5]  Patwari AK, Anand VK, Kapur G, et al. Clinical and nutritional profile of children with celiac disease. Indian Pediatr. 2003; 40(4): 337-42.
 
[6]  A. E. Yildirim, R. Altun, S. Can et al., “Idiopathic chylous ascites treated with total parenteral nutrition and octreotide. A case report and review of the literature,” European Journal of Gastroenterology and Hepatology, vol. 23, no. 10, pp. 961-963, 2011.
 
[7]  G. Joanny, A. Celia, G. Zeccolini, D. Del Biondo, and G. Breda, “Chylous ascites following laparoscopic adrenalectomy: case report and literature review,” Archivio Italiano di Urologia e Andrologia, vol. 82, no. 3, pp. 186-188, 2010.
 
[8]  D. X. Zhou, H. B. Zhou, Q.Wang, S. S. Zou, H.Wang, and H. P. Hu, “The effectiveness of the treatment of octreotide on chylous ascites after liver cirrhosis,” Digestive Diseases and Sciences, vol. 54, no. 8, pp. 1783-1788, 2009.
 
[9]  G. Baiocchi, C. C. Faloppa, R. L. C. Araujo et al., “Chylous ascites in gynecologic malignancies: cases report and literature review,” Archives of Gynecology and Obstetrics, vol. 281, no. 4, pp. 677-681, 2010.
 
[10]  C. R. Parrish and S. McCray, “When chyle leaks: nutrition management options,” Practical Gastroenterology, vol. 28, no. 5, pp. 60-76, 2004.
 
[11]  G. J. de Vries, B. M. Ryan, M. De Bi`evre, A. Driessen, R. W. Stockbrugger, and G. H. Koek, “Cirrhosis related chylous ascites successfully treated with TIPS,” European Journal of Gastroenterology and Hepatology, vol. 17, no. 4, pp. 463-466, 2005.
 
[12]  D. Voros and S. Hadziyannis, “Successful management of postoperative chylous ascites with a peritoneojugular shunt,” Journal of Hepatology, vol. 22, no. 3, p. 380, 1995.
 
[13]  D. Mittleider, T.A. Dykes, K. P.Cicuto, S. M. Amberson, and C. R. Leusner, “Retrograde cannulation of the thoracic duct and embolization of the cisterna chyli in the treatment of chylous ascites,” Journal of Vascular and Interventional Radiology, vol. 19, no. 2, part 1, pp. 285-290, 2008.