Chylous ascites complicating neonatal peritoneal dialysis

  title={Chylous ascites complicating neonatal peritoneal dialysis},
  author={Joel Z. Melnick and Catherine M. McCarty and Mary P. Hunchik and Steven R. Alexander},
  journal={Pediatric Nephrology},
We report the development of chylous ascites in a neonate as an uncommon complication during continuous peritoneal dialysis. Cloudy dialysis fluid containing many white blood cells might confuse the diagnosis of chylous ascites with infective peritonitis and result in inappropriate use of antibiotics. Resolution may be critical, since chyle removal during dialysis may result in profound immunosuppression and malnutrition due to lymphocyte and fat losses. After 4 weeks on a modified diet, the… CONTINUE READING