Disease relevance of Chylous Ascites

• METHODS: Twenty-one whole-body lymphoscintigrams using 99mTc-antimony sulfide colloid or dextran were acquired in 18 patients with chyluria, chyloperitoneum and/or chylothorax [1].
• An adult female with Turner syndrome presented with severe lymphedema and chylous ascites [2].
• Concurrent occurrence of chylothorax, chylous ascites, and protein-losing enteropathy in systemic lupus erythematosus [3].
• The early postoperative course of this 31-year-old male with homozygous alpha 1-antitrypsin deficiency was complicated by chylous ascites and a large lymphocele demonstrable on CT scanning [4].
• BACKGROUND: Familial visceral myopathy in two siblings, involving the intestine with concurrent chylous ascites and chylous pleural effusion, is reported [5].

High impact information on Chylous Ascites

• Hairy cell leukemia with chylous ascites [6].
• Octreotide for therapy of chylous ascites in yellow nail syndrome [7].
• Aggressive diagnostic and therapeutic interventions are not warranted in childhood cases of chylous ascites until conservative management (paracentesis, low-fat diet, medium-chain triglyceride supplementation) has failed; neoplasia is rarely implicated and many cases resolve within a few months [8].
• A review of the 26 reported cases of postoperative chylous ascites indicates a spontaneous resolution rate of 41% with non-operative management including low fat diet, paracenteses, and total parenteral nutrition [9].
• Chylous ascites following surgical treatment for wilms tumor [10].

Chemical compound and disease context of Chylous Ascites

• Chylous ascites following abdominal aortic aneurysmectomy. Management with total parenteral hyperalimentation [11].
• CONCLUSION: After menarche in a woman with acrocephalosyndactyly, ovarian steroid hormones might have increased lymph production and hydrostatic pressure, causing rupture of congenitally dysplastic lymph vessels resulting in chylous ascites [12].
• To our knowledge, orlistat has never been used in the treatment of chylous ascites [13].
• Manidipine hydrochloride-induced chyloperitoneum in a patient with systemic lupus erythematosus [14].
• Successful management of post-esophagectomy chylothorax/chyloperitoneum by etilefrine [15].

Biological context of Chylous Ascites

• Analysis of the fluid revealed elevated triglyceride content and a normal cell count, consistent with chylous ascites [16].

Gene context of Chylous Ascites

• Identification of insulin-like growth factor (IGF)-I and IGF-binding protein in chylous ascites [17].
• The case is reported of a 74-year-old woman with a carcinoid tumor associated with chylous ascites and elevated tumor markers, CEA, and CA-125 [18].
• We report a case of chylous ascites due to dilated cardiomyopathy with autopsy findings [19].
• Dilated cardiomyopathy associated with chylous ascites [19].
• We present a case of refractory chylous ascites following radical nephrectomy with inferior vena caval thrombectomy that failed to respond to conventional conservative measures and resolved rapidly following the administration of Somatostatin [20].

Analytical, diagnostic and therapeutic context of Chylous Ascites

• Management of refractory chylous ascites by total parenteral nutrition [21].
• After diagnosis treatment by low-fat diet with medium-chain triglyceride supplements resulted in disappearance of chylous ascites [22].
• The infant was placed on home total parenteral nutrition for 10 weeks, during which time the chylous ascites resolved and did not recur with the introduction of a normal diet [23].

References