Recurrent chyloperitoneum: a rare complication of peritoneal dialysis.
Recurrent chyloperitoneum: a rare complication of peritoneal dialysis.
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复发性乳糜腹膜：腹膜透析的罕见并发症。
DOI：
10.1007/s00467-007-0674-0
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发表时间：
2008
期刊：
影响因子：
--
通讯作者：
Flynn,JosephT
中科院分区：
文献类型：
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作者：
Kumar,Juhi;Gordillo,Roberto;DelRio,Marcela;Flynn,JosephT
我们报告一位幼儿腹膜透析并发乳糜性腹膜炎的自发发展。一名18个月大的终末期肾病（ESRD）男孩在连续循环腹膜透析中发生自发性乳糜腹膜。他接受了保守治疗，低脂饮食补充中链甘油三酯。乳糜性腹膜炎在他接受低脂饮食后2天内消退，但在4次恢复常规饮食后复发。3个月后，乳糜漏终于解决后，一段时间的低脂肪饲料。乳糜性腹膜炎是腹膜透析的一种罕见并发症，可与腹膜炎的体征混淆，重要的是要区分两者，以便采取适当的管理。本文就乳糜性腹膜炎复发的原因、处理及并发症作一讨论。
We report the spontaneous development of recurrent chyloperitoneum as a complication of peritoneal dialysis in a toddler. An 18-month-old boy with end-stage renal disease (ESRD) on continuous cycling peritoneal dialysis developed spontaneous chyloperitoneum. He was treated conservatively, with a low-fat diet supplemented with medium-chain triglycerides. The chyloperitoneum resolved within 2 days of his being on the low-fat diet, but it recurred after re-institution of regular feeds on four occasions. After 3 months, the chyle leak finally resolved after an extended period of low-fat feeds. Chyloperitoneum is a rare complication of peritoneal dialysis that can be confused with signs of peritonitis, and it is important to differentiate between the two so that appropriate management can be undertaken. This paper discusses the possible causes, management and complications of recurrent chyloperitoneum.