Disease Information for Surgical ligation/Cysterna lymphatics

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Clinical Manifestations
Signs & Symptoms
Hypertrophic lymphatics/subcutaneous/signs
Disease Progression
Course/Acute
Demographics & Risk Factors
Established Disease Population
Patient/Surgical procedures recent
Diagnostic Test Results
X-RAY
Xray/Peritoneal fluid/child/ABD
Associated Diseases & Rule outs
Associated Disease & Complications
Abdominal lymphatics obstruction/Cysterna ch.
Ascites
Chylous ascites
Peritoneal Effusion
Surgical ligation/Cysterna lymphatics
Disease Synergy - Causes
Synergy/Post Operative-Recent Surgery
Disease Mechanism & Classification
Class
CLASS/Cysterna Chyli/main lymphatic channels disorder (ex)
CLASS/Lymphatics/channels disorders (ex)
CLASS/Lymphatics/lymph (category)
Process
PROCESS/Surgical procedure/complication (category)
Definition

What ever the cause chylous ascites presents with diarrhea and failure to thrive in kids; acquired or congenital; paracentesis and medium chain fat diet will occsionally give spontaneous cure in kids; Lymphectasia congenital defect with milder dysplasia in onset as adults presents as protein losing enteropathy; Hypogammaglobulinemia, hypoambuminemia, and lymphopenia occur; Ascitic fluid has lymphocytes but may not be milky if not postprandial; No real treatment in kids; Surgical venous drainage connection more successful in adults; Cause of acquired disease are blocks at central lymphatics, cysterna chyle, and thoracic duct; infections, inflammatory,neoplastic malignancy, and trauma with hematoma scar retroperitoneal sepsis; may be complication of hemorrhagic necrotizing pancreatitis; If thoracic duct involved pleural chylous effusion predates the ascites; Often the fluid wave, shifting dullness, and distended abdonmen are present; Retroperitoneal edema shows on imaging; One or both lower extremities are edematous; Often this is fatal if untreated, especially with kids; Complicating infection occurs; Some causes in adults are tuberculosis, schistosomiasis, retroperitoneal hematoma, carcinoma retroperitoneal, section at surgery, transection with gunshot etc; Usually not discovered and idiopatic acquired----Pediatric current DXRX Hay Sondheimer 14th 1999]--------------------------------

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External Links Related to Surgical ligation/Cysterna lymphatics
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Medscape (eMedicine)
Harrison's Online (accessmedicine)
NEJM (The New England Journal of Medicine)
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