Presentation
Term baby. Respiratory distress and massive abdominal distension.
Patient Data
Age: 1 day
Gender: Female
From the case:
Neonatal ascites
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ET tube tip at T2 (appropriate position).
NG tube tip at GEJ (high).
Grossly distended abdomen. The gas-filled upper abdominal loops of bowel appear to be centrally placed. No significant body-wall edema. Likely ascites.
From the case:
Neonatal ascites
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Gross distension of the abdomen with central bowel gas loops. No significant body-wall edema. Appearances are consistent with ascites.
Case Discussion
Neonatal ascites was suspected clinically and confirmed with an ascitic tap. The ascitic fluid was milky with a raised triglyceride confirming chylous ascites. The cause was not found. The ascites resolved with conservative management.