• Internal medicine · Jul 2022

    Chylous Ascites Due to Hyperthyroidism and Heart Failure.

    • Masaki Uchihara, Jun Ehara, Keiichi Iwanami, Koichi Kitamura, Toshihiko Suzuki, Noriyoshi Ishizuka, Toru Yamada, and Eiji Hiraoka.
    • Department of Internal Medicine, Tokyo Bay Urayasu Ichikawa Medical Center, Japan.
    • Intern. Med. 2022 Jul 1; 61 (13): 1995-1998.

    AbstractChylous ascites (CA) is the accumulation of fluid with a high triglyceride content in the peritoneal cavity. Only two cases in the literature have reported CA with hyperthyroidism. A 28-year-old previously healthy woman presented with gradual-onset abdominal swelling, exertional dyspnea, and diarrhea. Hyperthyroidism and heart failure were diagnosed using laboratory investigation and echocardiography. Ultrasonography revealed a large amount of ascites. The ascitic fluid was milky with elevated triglyceride levels. Treatment with anti-thyroid therapy and diuretics improved all symptoms, and the free triiodothyronine (T3) level normalized after five days. Hyperthyroidism and heart failure should be considered as reversible causes of CA.

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