Chylous nephrogenic ascites in a hemodialysis patient
Joint Authors
Tan, Jackson
Chong, Vui Heng
Khalil, Muhammad Abd al-Mabud
Jukmin, Muhammad Khayr al-Sadiq Hajj
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 31, Issue 3 (30 Jun. 2020), pp.687-692, 6 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2020-06-30
Country of Publication
Saudi Arabia
No. of Pages
6
Main Subjects
Abstract EN
Chylous nephrogenic ascites is rare in hemodialysis (HD) patients.
We would like to share a rare case of chylous nephrogenic ascites in a HD patient.
The patient has a history of straw-colored nephrogenic ascites which was drained through pigtail five times in the past.
Later on, the ascites became turbid and milky.
The chloroform test of the ascitic fluid showed fat globules with Oil Red-O stain, and the triglyceride concentration of ascitic fluid was 168.14 mg/dL (1.93 mmol/L) satisfying the criteria of chylous ascites.
We believe that this may be caused by microtrauma from repeated pigtail insertions for ascites which was compounded by inadequate HD and noncompliance with fluids.
Routine investigations including screening for malignancy, tuberculosis, cirrhosis, and heart failure did not reveal any other possible causes.
Although there are few case reports of chylous ascites in peritoneal dialysis patients, it has never been reported in patients on HD.
American Psychological Association (APA)
Khalil, Muhammad Abd al-Mabud& Jukmin, Muhammad Khayr al-Sadiq Hajj& Chong, Vui Heng& Tan, Jackson. 2020. Chylous nephrogenic ascites in a hemodialysis patient. Saudi Journal of Kidney Diseases and Transplantation،Vol. 31, no. 3, pp.687-692.
https://search.emarefa.net/detail/BIM-1333608
Modern Language Association (MLA)
Chong, Vui Heng…[et al.]. Chylous nephrogenic ascites in a hemodialysis patient. Saudi Journal of Kidney Diseases and Transplantation Vol. 31, no. 3 (May. / Jun. 2020), pp.687-692.
https://search.emarefa.net/detail/BIM-1333608
American Medical Association (AMA)
Khalil, Muhammad Abd al-Mabud& Jukmin, Muhammad Khayr al-Sadiq Hajj& Chong, Vui Heng& Tan, Jackson. Chylous nephrogenic ascites in a hemodialysis patient. Saudi Journal of Kidney Diseases and Transplantation. 2020. Vol. 31, no. 3, pp.687-692.
https://search.emarefa.net/detail/BIM-1333608
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 691-692
Record ID
BIM-1333608