Successful management of Chylous ascites : a report of two cases
Joint Authors
Alam, Shaan E.
Kar, Sunny M.
Kar, Pran M.
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 27, Issue 2 (30 Apr. 2016), pp.386-390, 5 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2016-04-30
Country of Publication
Saudi Arabia
No. of Pages
5
Main Subjects
Topics
Abstract EN
Chylous ascites consists of the accumulation of chyle in the peritoneal cavity.
Diagnosis is established by cytochemical analysis of the fluid revealing fat globules and high triglyceride content.
The majority of cases are caused by pathology that interferes with abdominal retroperitoneal lymphatic drainage.
We present two cases of postoperative chylous ascites, one following a bilateral nephrectomy, the other following orthotopic heart transplantation.
Treatment is typically conservative with the aim to alleviate abdominal distension and reduce the flow of lymph into the mesenteric lymph nodes.
Postsurgical chylous ascites has high cure rate with conservative therapy alone.
Therapeutic paracentesis, diuretics, salt restriction, a high-protein, low-fat, mediumchain triglyceride diet, and parenteral nutrition are considered in chronic cases.
The effects of longterm paracentesis on patients remains to be seen.
In patients requiring renal replacement therapy, removal of chyle during peritoneal dialysis is often attempted.
American Psychological Association (APA)
Alam, Shaan E.& Kar, Sunny M.& Kar, Pran M.. 2016. Successful management of Chylous ascites : a report of two cases. Saudi Journal of Kidney Diseases and Transplantation،Vol. 27, no. 2, pp.386-390.
https://search.emarefa.net/detail/BIM-678687
Modern Language Association (MLA)
Alam, Shaan E.…[et al.]. Successful management of Chylous ascites : a report of two cases. Saudi Journal of Kidney Diseases and Transplantation Vol. 27, no. 2 (Mar. / Apr. 2016), pp.386-390.
https://search.emarefa.net/detail/BIM-678687
American Medical Association (AMA)
Alam, Shaan E.& Kar, Sunny M.& Kar, Pran M.. Successful management of Chylous ascites : a report of two cases. Saudi Journal of Kidney Diseases and Transplantation. 2016. Vol. 27, no. 2, pp.386-390.
https://search.emarefa.net/detail/BIM-678687
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 389-390
Record ID
BIM-678687