Management Of Chylous Ascites And Chylothorax. Report Of One Case
REVISTA MEDICA DE CHILE(2020)
摘要
Chylous 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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关键词
Chylous Ascites, Hypertension, Portal, Liver Cirrhosis, Nutritional Support, Portasystemic Shunt, Transjugular Intrahepatic
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