{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T20:08:04Z","timestamp":1781294884043,"version":"3.54.1"},"reference-count":5,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2023,12,4]],"date-time":"2023-12-04T00:00:00Z","timestamp":1701648000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["European J Pediatr Surg Rep."],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Malrotation leading to massive chylous ascites is rare. A 9-year-old girl was investigated for slowly increasing abdominal distension under a year. She had no vomiting, weight loss, or pain, but was bothered in social situations. Medical investigations, including ultrasound and computed tomography scans, revealed massive ascites. Laparocentesis yielded milk-colored fluid, confirmed as lymph through laboratory analysis. A complete blood count, liver function and hematologic parameters, chyle cytology, bacterial cultures, and polymerase chain reaction for tuberculosis were all within normal limits.<\/jats:p><jats:p>She was referred to a tertiary center for vascular anomalies. A dynamic contrast-enhanced magnetic resonance lymphangiography showed normal lymphatic anatomy without leakage or flow obstruction. A whole-body magnetic resonance imaging revealed a central mesenteric rotation.<\/jats:p><jats:p>She was referred to a tertiary center for pediatric surgery, where a laparoscopic Ladd's procedure was performed using a new 5\u2009mm pediatric sealing device, along with an appendectomy using a 5\u2009mm stapler. To derotate the bowel, fenestrations were created in compartments containing a substantial amount of chyle and ascites, resulting in the drainage of 2.4\u2009L of fluid. She was discharged the day after surgery and has been in good health for 1 year. We present a video illustrating the Ladd's procedure steps in this patient.<\/jats:p>","DOI":"10.1055\/a-2221-9682","type":"journal-article","created":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T00:44:35Z","timestamp":1701737075000},"page":"e1-e3","source":"Crossref","is-referenced-by-count":2,"title":["Massive Chylous Ascites in a 9-Year-Old Girl with Malrotation\u2014A Case Report"],"prefix":"10.1055","volume":"12","author":[{"given":"Hans","family":"Winberg","sequence":"additional","affiliation":[{"name":"Pediatrics, Department of Clinical Sciences Lund, Lund University, Lund, Sweden"},{"name":"Department of Pediatric Surgery, Sk\u00e5nes Universitetssjukhus Lund, Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e4r","family":"Gerwins","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, Radiology, Uppsala University, Uppsala, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6843-8995","authenticated-orcid":false,"given":"Kristine","family":"Hagelsteen","sequence":"additional","affiliation":[{"name":"Pediatrics, Department of Clinical Sciences Lund, Lund University, Lund, Sweden"},{"name":"Department of Pediatric Surgery, Sk\u00e5nes Universitetssjukhus Lund, Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,1,10]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"894","DOI":"10.1016\/j.ijscr.2020.12.004","article-title":"Intestinal malrotation causing chylous ascites in an adolescent: a case report","volume":"77","author":"S M Alshahrani","year":"2020","journal-title":"Int J Surg Case Rep"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1016\/j.jpedsurg.2017.05.031","article-title":"Congenital chylous ascites in infants: another presentation of intestinal malrotation","volume":"53","author":"L Long","year":"2018","journal-title":"J Pediatr Surg"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1007\/s12328-015-0573-z","article-title":"Case report of chylous ascites with strangulated ileus and review of the literature","volume":"8","author":"Y Harino","year":"2015","journal-title":"Clin J Gastroenterol"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1272\/jnms.84.83","article-title":"Primary volvulus of the small intestine exhibiting chylous ascites: a case report","volume":"84","author":"T Hayama","year":"2017","journal-title":"J Nippon Med Sch"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1016\/j.jpedsurg.2014.01.039","article-title":"Age at presentation of common pediatric surgical conditions: reexamining dogma","volume":"49","author":"J Aboagye","year":"2014","journal-title":"J Pediatr Surg"}],"container-title":["European Journal of Pediatric Surgery Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2221-9682.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T14:22:25Z","timestamp":1730816545000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2221-9682"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,4]]},"references-count":5,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2024,1,10]]},"published-print":{"date-parts":[[2024,1]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2221-9682","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2194-7619","2194-7627"],"issn-type":[{"value":"2194-7619","type":"print"},{"value":"2194-7627","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,12,4]]},"published":{"date-parts":[[2023,12,4]]}}}