• Sriram Ramgopal, Stefan Scholz, and Jennifer R Marin.
• From the Divisions of *Pediatric Emergency Medicine and †General and Thoracic Pediatric Surgery, Children's Hospital of Pittsburgh, University of Pittsburgh; and ‡Department of Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA.
• Pediatr Emerg Care. 2017 Aug 1; 33 (8): 599-601.

AbstractWe present a 4-week-old neonate with acute onset of bloody stools and abdominal distention. Point-of-care ultrasound performed in the emergency department allowed for rapid diagnosis of a large amount of free intra-abdominal fluid, which together with the physical findings, prompted emergent operative exploration revealing chylous ascites. Although no areas of active volvulus were identified intraoperatively, findings in the case were suggestive of small bowel volvulus and deemed as the most likely etiology for this patient's presentation. In this report, we review the relevant aspects of ultrasonography for ascites and discuss the diagnosis of chylous ascites.

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