Chylous ascites: Report of two cases
Keywords:
chylous ascites, chylo-ascites, liver cirrhosis, uterine cancer, adenosquamous carcinoma of the endometriumAbstract
The presence of lymph of thoracic or intestinal origin in the abdominal cavity is defined as chylous ascites, an infrequent disease, usually associated with another disease of difficult diagnosis in which the treatment, commonly, does not achieve good results. The contribution of this work is to report the cases of two female patients in whom chylous ascites was diagnosed at the D Medicine Ward of the Arnaldo Milián Castro Hospital, and to carry out a review of the physiopathology, clinical presentation, etiologies, diagnosis and treatment of this disease. The clinical and evolutionary data of the two patients were summarized. They did not present a traumatic, infectious, neoplastic or surgical history that could account for chylous ascites. The diagnosis was made by the appearance of the liquid, which was obtained by paracentesis and by its cytochemical study, with triglyceride content above 200mg/dl in both cases. The cause of chylous ascites was liver cirrhosis in one of the patients and cancer of the uterus with lymphatic invasion in the second. Both patients died; the former due to bacterial peritonitis and dysfunction and failure of multiple organs, and the latter due to malnutrition, peritonitis and infiltration of the omentum due to adenosquamous carcinoma of the endometrium infiltrating the myometrium.Downloads
References
1. Pérez CB, Palomeque JA, Hernández GMD, Navarro FF, Jiménez RJA. Ascitis quilosa asociada a pancreatitis aguda. Rev Chil Cir [Internet]. 2014 Oct [citado 5 Oct 2016];66(5). Disponible en: https://scielo.conicyt.cl/pdf/rchcir/v66n5/art11.pdf
2. Steinemann DC, Dindo D, Clavien PA, Nocito A. Atraumatic Chylous Ascites: Systematic Review on Symptoms and Causes. J Am Coll Surg [Internet]. 2011 May [citado 5 Oct 2016];(212):899-905. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/21398159
3. European Association for the Study of the Liver. EASL clinical practice guidelines onthe management of ascites, spontaneous bacterial peritonitis, and hepatorenal syndromein cirrhosis. J Hepatol [Internet]. 2010 Sep [citado 5 Oct 2016];53:397-417. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/20633946
4. Castillo OA, Borgna V. Ascitis quilosa y fístula quilosa de alto flujo tras disección linfática pélvica extendida en cáncer urológico: una rara complicación postoperatoria. Archivos Españoles de Urología [Internet]. 2014 [citado 12 Oct 2016];67(9):759-63. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=4860284
5. Freeman HJ, Nimmo M. Intestinal lymphangiectasia in adults. World J of Gastrointest Oncol [Internet]. 2011 Feb [citado 12 Oct 2016];1(382):19-23. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/21364842
6. Ozgüç H, Narmanlıa M, Kursadn M. Acute chylous peritonitis: Report of a case. International Journal of Surgery Case Reports [Internet]. 2013 [citado 22 Nov 2016];419-21. Disponible en: https://www.sciencedirect.com/science/article/pii/S2210261213000424
7. Cárdenas A, Chopra S. Chylous ascites. Am J Gastroenterol [Internet]. 2002 Aug [citado 22 Nov 2016];97:1896-900. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/12190151
8. Leibovitch I, Mor Y, Golomb J, Ramon J. The diagnosis and management of postoperative chylous ascites. Urol [Internet]. 2002 Feb [citado 22 Nov 2016];167(2 Pt 1):449-57. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/11792897
9. Gamboni M, Sánchez Marull R. Temas de actualización en citopatología: Derrames Serosos. Sociedad Latinoamericana de Citopatología: Editorial Ascune Hnos; 2012.
10. Acón Fernández ML, Brenes Fernández R. Quiloperitoneo en paciente con abdomen agudo. Reporte de Caso y Revisión de Literatura. Medicina Legal de Costa Rica - Edición Virtual [Internet]. 2016 Mar [citado 26 Nov 2016];33(1):[aprox. 6p.]. Disponible en: http://www.scielo.sa.cr/pdf/mlcr/v33n1/1409-0015-mlcr-33-01-00314.pdf
11. Mishin I, Ghidirim G, Vozian M. Acute Spontaneous Chylous Peritonitis: Report of a Case. Journal of Gastrointestinal and Liver Disease [Internet]. 2010 [citado 22 Nov 2016];19(3):333-35. Disponible en: http://www.jgld.ro/2010/3/19.pdf
12. Jiménez CE. Ascitis quilosa. Presentación de un caso y revisión de la fisiopatología. Rev Colomb Cir [Internet]. 2004 Apr-Jun [citado 26 Nov 2016];19(2):270-76. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S2011-75822004000200002
13. Pérez Solis D, Campuzano MS, Bousoño GC, Ramos PE. Ascitis quilosa congénita con linfangiectasia intestinal. Bol Pediatr [Internet]. 2007 [citado 26 Nov 2016];47(200):132-35. Disponible en: http://www.sccalp.org/boletin/200/BolPediatr2007_47_132-135.pdf
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15 junio 2025
