• Revista médica de Chile · Aug 2020

    Case Reports

    [Management of chylous ascites and chylothorax. Report of one case].

    • Paulina Jofré, Bruno Grassi, and Carlos Benítez.
    • Departamento de Nutrición, Diabetes y Metabolismo, Pontificia Universidad Católica de Chile, Santiago, Chile.
    • Rev Med Chil. 2020 Aug 1; 148 (8): 1202-1206.

    AbstractChylous Ascites (CA) and chylothorax (CTx) are associated with obstruction, disruption or insufficiency of the lymphatic system. We report a 68-year-old male, with a history of alcoholic cirrhosis, who had recurrent events of CTx and CA. After a complete study, no other etiologies other than portal hypertension were found. Therapy with diuretics, nothing per mouth, parenteral feeding plus octreotide did not relieve symptoms. A transjugular intrahepatic portosystemic shunt (TIPS) was successfully placed and pleural effusion subsided. This case shows that CA and CTx can be caused by portal hypertension and they may subside employing a multimodal management strategy.

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