Massive chylous ascites and transected pancreas secondary to child abuse: successful non-surgical management.

A case of massive chylous ascites associated with transection of the pancreas secondary to occult child abuse is presented. Computed tomography and ultrasound demonstrated exquisitely the location and extent of the clinically occult pancreatic injury. Also demonstrated was the complete resolution of the chylous ascites and the resolving and later completely resolved pancreatic injury following non-operative conservative treatment with total parenteral nutrition.