PMID: 15240974Jul 9, 2004Paper

Chylous ascites and pleural effusion secondary to constrictive pericarditis presenting with signs of lymphatic obstruction

Japanese Heart Journal
Basri AmasyaliErsoy Isik

Abstract

Chylous ascites is a clinical entity characterized by accumulation of milky fluid containing high amounts of triglycerides in the peritoneal cavity. The cause is usually lymphatic obstruction secondary to neoplastic processes. Constrictive pericarditis rarely causes cylous ascites through elevated venous pressure and lymphatic stasis. To the best of our knowledge, there is no report of constrictive pericarditis leading to chylous ascites in a patient presenting with objective lymphangiographic findings of lymphatic obstruction rather than stasis. We present a case of chylous ascites and pleural effusion secondary to constrictive pericarditis presenting with signs of lymphatic obstruction in lymphangio-graphy, in whom complete clinical and laboratory improvement was achieved after pericardiectomy.

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Citations

Jun 29, 2012·Journal of Medical Case Reports·Sarawut SummachiwakijSuchai Charoenratanakul
Mar 15, 2011·Journal of the American College of Surgeons·Daniel C SteinemannAntonio Nocito
Apr 22, 2009·The Annals of Thoracic Surgery·Françoise Le Pimpec-BarthesMarc Riquet
Jun 2, 2016·Cardiology in the Young·Yoshio OotakiRoss M Ungerleider
Apr 23, 2010·Current Opinion in Pulmonary Medicine·Vasileios Skouras, Ioannis Kalomenidis
Sep 24, 2005·The Oncologist·Tony AlmakdisiGeorge Makdisi
Jan 1, 2014·ISRN Hepatology·Said A Al-BusafiPhilip Wong

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