Resolution of refractory chylous ascites after Kasai portoenterostomy using octreotide.

Chylous ascites is a rare disorder with variables causes. Herein, the authors report a case of refractory chylous ascites after Kasai operation for biliary atresia, which was treated successfully with subcutaneous octreotide, a synthetic somatostatin analogue. To the best of the authors' knowledge, this is the first report in the English-language literature of post-Kasai chylous ascites being successfully treated with subcutaneous octreotide in parallel with the continuation of enteral feeding.