Reprint requests: Dr. Bhasker Bappal, Department of Pediatrics, Royal Hospital, P.O. Box 1331, Seeb-111, Sultanate of Oman. Manuscript Received: April 29,1997; Initial review completed: June 3,1997; Revision Accepted: August 29,1997 Hemoglobin and total blood count was normal. Serum electrolytes, urea and creatinine were normal. Total protien was 59 g/L, albumin was 35 g/L, globulin was 24 g/L, total bilirubin was 9 mmol/L and alkaline phosphatase was 15 IU/L. Urine examination showed 0.1 g albumin/L. Chest radiograph was normal. Ultrasound abdomen showed large amount of fluid in the peritoneal cavity, inferior vena cava and hepatic veins were normal and there was no organomegaly. CT-abdomen with barium contrast showed no abnormality. Ascitic fluid analysis revealed: total protein 20g/L, glucose-4mmol/L, triglycerides > 100 mmo/L, cholesterol-18 mmol/L, lactic dehydrogenase-160 IU/L. Microscopy of ascitic fluid showed large number of lymphocytes.