Chylous Ascitesenparentshttps://kidshealth.org/EN/images/headers/KH_generic_header_02_2.jpgChylous ascites is when chyle collects in the belly. Depending on what's causing it, doctors can treat chylous ascites and often cure it.chylous ascites, chyle, chyluria, lymph, lymphatic system, cancer, lymphangioma, congenital lymphatic malformations, lymphatic malformations, noonan, turner, lymphangiomatosis, ascites, abdominal swelling, stomach pain, pulmonary hypertension, pulmonology, lymphatic imaging, embolization10/06/202010/06/202010/06/2020Deborah A. Rabinowitz, MD10/01/20206015512b-efd0-4501-8a52-e605ef752a73https://kidshealth.org/ws/RadyChildrens/en/parents/chylous-ascites.html/<h3>What Is Chylous Ascites?</h3> <p>Chylous ascites is when chyle collects in the belly. Chyle is a milky fluid made in the <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/digestive.html/">bowels</a> (intestines) during digestion.</p> <p>Depending the cause, doctors can treat chylous ascites (KYE-lus uh-SYE-teez) and often cure it.</p> <h3>What Happens in Chylous Ascites?</h3> <p>Chyle (KYE-ul) is made of lymph and tiny fat droplets. Lymph (LIMF) is a clear fluid that carries fats and proteins, helps fight <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/germs.html/">germs</a>, and keeps the body's fluid levels normal.</p> <p>Lymph vessels take chyle to the bloodstream. From there, the blood carries lymph and fats where they are needed.</p> <p>When the <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/spleen-lymphatic.html/">lymphatic system</a> is damaged or isn't working as it should, this normal flow can't happen. The chyle can't get into the blood, and instead leaks into other places. In chylous ascites, it leaks into the belly.</p> <h3>What Are the Signs &amp; Symptoms of Chylous Ascites?</h3> <p>While there's only a little fluid in the belly, chylous ascites may not cause any symptoms. But as the fluid builds up, it can cause:</p> <ul> <li>a large, rounded belly</li> <li>a swelling or bulge at the belly button (<a href="https://kidshealth.org/ws/RadyChildrens/en/parents/umbilical-hernias.html/">umbilical hernia</a>)</li> <li>loss of appetite</li> <li>one or more lumps in the groin (from a <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/hernia.html/">hernia</a> or swollen lymph nodes)</li> <li>swelling of the genitals or legs</li> <li>trouble breathing</li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/vomit.html/">vomiting</a></li> </ul> <p>Kids with chylous ascites also can have trouble fighting infections and may get blood clots.</p> <h3>What Causes Chylous Ascites?</h3> <p>Children with the condition usually have it because of:</p> <ul> <li>a problem in the lymphatic system that the child is born with</li> <li>trauma that injures the lymphatic vessels</li> </ul> <p>Less often, a child may get it after belly surgery, from cancer, or from other medical problems.</p> <h3>How Is Chylous Ascites Diagnosed?</h3> <p>Before a baby is born, doctors might suspect chylous ascites when a routine <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/prenatal-ultrasound.html/">prenatal ultrasound</a> shows fluid in the baby's belly. They'll do more tests to be sure.</p> <p>In infants and children, doctors test the fluid in the belly. They use a needle to take a sample and send it to a lab for testing. If the fluid has chyle, they'll do other tests to find out how it's getting into the belly, such as an X-ray, ultrasound, CT scan, or MRI.</p> <p>If they need more information, doctors can do <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/endoscopic.html/">minimally invasive surgery</a> (laparoscopy). They make small cuts in the belly and use a tiny camera and instruments to look for problems.</p> <h3>How Is Chylous Ascites Treated?</h3> <p>If a fetus has chylous ascites, doctors will watch the mother's pregnancy closely. When she gives birth, they'll care for the baby in the <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/nicu-caring.html/">NICU</a>.</p> <p>Treating the condition depends on what's causing it. Chylous ascites caused by a leak in the lymphatic system may heal on its own.</p> <p>Treatment, if needed, may include:</p> <ul> <li>removing fluid from the belly with a needle</li> <li>placing a drain in the belly so the fluid can flow out</li> <li>helping the body make less chyle with medicine, a low-fat diet, or <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/intravenous-line.html/">IV</a> nutrition (total parenteral nutrition, or TPN)</li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/intvnl-radiology.html/">interventional radiology</a> to fix the lymph vessel</li> </ul> <h3>How Can Parents Help?</h3> <p>If your child has chylous ascites, be sure to:</p> <ul class="kh_longline_list"> <li>Take your child to all doctor's visits.</li> <li>Make sure your child takes any prescribed medicines.</li> <li>Help your child with any prescribed diet changes.</li> </ul>Ascitis quilosaLa ascitis quilosa ocurre cuando se acumula líquido dentro del abdomen. El quilo es un líquido lechoso que se fabrica en los intestinos durante la digestión.https://kidshealth.org/ws/RadyChildrens/es/parents/chylous-ascites-esp.html/eb3dc677-8e56-42e2-bb62-a680abed41f9
ChylothoraxA chlylothorax happens when chyle (lymphatic fluid) collects in the space around a lung.https://kidshealth.org/ws/RadyChildrens/en/parents/chylothorax.html/6a7f60a3-b453-4b19-b818-31fff8dd746c
ChyluriaChyluria is when there is chyle in the pee. Depending on what's causing it, chyluria can be treated and often can be cured.https://kidshealth.org/ws/RadyChildrens/en/parents/chyluria.html/3544293e-209b-4547-bab1-b719ad4429d3
EmbolizationEmbolization is a procedure in which plugging material or a plugging object is put into a blood vessel to block it. It's used to help treat many conditions.https://kidshealth.org/ws/RadyChildrens/en/parents/embolization.html/60430803-a6ec-4663-8738-99ca92208556
HerniasHernias are fairly common in kids, and hernia repair is one of the most common pediatric surgeries.https://kidshealth.org/ws/RadyChildrens/en/parents/hernia.html/7d8de0d8-ef61-4907-9ed4-527ad3612366
Lymphatic MalformationsA lymphatic malformation is a clump of lymph vessels that form a growing spongy cluster. They're unusual growths, but are not cancerous.https://kidshealth.org/ws/RadyChildrens/en/parents/lymphatic-malformations.html/5c921081-78b3-44c2-b4ce-04ce41cc824a
Noonan Syndrome Noonan syndrome is a condition that some babies are born with. It causes changes in the face and chest, and usually includes heart problems.https://kidshealth.org/ws/RadyChildrens/en/parents/noonan-syndrome.html/5e0e06a5-ddd6-4a24-8218-a6a31a55caff
Prenatal Test: UltrasoundA prenatal ultrasound is a safe and painless test that shows a baby's shape and position. It can be done in the first, second, or third trimester of pregnancy.https://kidshealth.org/ws/RadyChildrens/en/parents/prenatal-ultrasound.html/457905ff-e58b-4c93-80f9-3169939f08e2
SclerotherapySclerotherapy is a procedure in which medicine is injected into blood vessels or lymph vessels to make them close. It's used to treat vascular malformations.https://kidshealth.org/ws/RadyChildrens/en/parents/sclerotherapy.html/93061ebf-ebf3-4024-a3ae-3e39b43ad2e2
The Lymphatic SystemThe lymphatic system is an extensive drainage network that helps keep body fluid levels in balance and defends the body against infections.https://kidshealth.org/ws/RadyChildrens/en/parents/spleen-lymphatic.html/e3a04be9-ff40-43f6-858a-909df5c6d4a0
Turner SyndromeGirls with Turner syndrome, a genetic condition, usually are shorter than average and infertile due to early loss of ovarian function. Early diagnosis and treatments can help most of them.https://kidshealth.org/ws/RadyChildrens/en/parents/turner.html/01266657-489e-4950-9570-87755272ae9b
Umbilical HerniasAn umbilical hernia shows up as a bump under the belly button. If a hernia doesn't go away by age 4 or 5 or causes problems, doctors may recommend surgery.https://kidshealth.org/ws/RadyChildrens/en/parents/umbilical-hernias.html/4fb8a9df-a2d2-4c29-bf97-180772df0233
What Is Interventional Radiology (IR)?Interventional radiology (IR) is a way for doctors to treat problems like vascular anomalies and tumors.https://kidshealth.org/ws/RadyChildrens/en/parents/intvnl-radiology.html/3814d0dd-ab9e-4acd-abe1-8e69a45a791a
kh:age-allAgesOrAgeAgnostickh:clinicalDesignation-gastroenterologykh:clinicalDesignation-radiologyAndMedicalImagingkh:genre-articlekh:primaryClinicalDesignation-radiologyAndMedicalImagingHeart & Blood Vesselshttps://kidshealth.org/ws/RadyChildrens/en/parents/medical/heart/e9ef0549-4392-4778-974d-753019ce4b8bDigestive Systemhttps://kidshealth.org/ws/RadyChildrens/en/parents/medical/digestive/226681c6-87ab-4259-ac66-0886c67d75a6