Milky Colour Ascitic Fluid in Idiopathic Nephrotic Syndrome: Pseudochylous Ascites SD01-SD02
Dr. Bablu Kumar Gaur,
A-110, Parshawnath Pritibha Appartment, Delhi Road,
Moradabad, Uttar Pradesh, India.
In normal conditions, ascitic fluid is clear to pale yellow. The causes of milky colour ascitic fluid in children includes spontaneous bacterial peritonitis, chylous ascites and pseudochylous ascites. Pseudochylous ascitis is an uncommon clinical entity in children. Nephrotic syndrome rarely causes pseudochylous ascites. Here the present authors report a case of 24-month-old child (male) who presented with clinical features of nephrotic syndrome. Diagnostic paracentesis was done which strikingly showed milky colour ascitic fluid. Physical appearance of ascitic fluid and laboratory findings were consistent with nephrotic syndrome associated with pseudochylous ascites. He was started on medical treatments and is under regular follow-up. Pseudochylous ascites should be considered in differential diagnosis of milky colour ascitic fluid in nephrotic syndrome.