Chylous ascites: Our experience from a resource-limited setting. (January 2023)

• Record Type: Journal Article
• Authors: Suleman, Mujaheed; Mohamedali, Abbas; Sadiq, Adnan; Tendai, Joylene; Lodhia, Jay
• Is Part Of: International journal of surgery case reports. Volume 102(2023)
• Publication Date: 2023-01
• Subjects: Ascites -- Chyle -- Management -- Resource-limited; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2022.107828
• Languages: English
• ISSNs: 2210-2612

Abstract

Abstract: Introduction and importance: Chyle is a lipid-rich, milky-appearing fluid originating from lymph tissues. Chylous ascites is the collection of chyle in the peritoneal cavity and is a rare pathology. Case presentation: In this case report we share our experience of successfully managing chylous ascites conservatively from a resource-limited setting. Clinical discussion: There are numerous causes hence management includes treating the cause. Generally responds well to conservative management however some cases require surgical intervention. Conclusion: Ascitic tapping is an effective diagnostic and therapeutic tool is chylous ascites. Highlights: Chylous ascites is a rare pathology accounting in less than 1 %. Clinicians should thrive to establish the cause for management plan. Chylous ascites responds well to conservative management. Abdominal drain is an effective diagnostic and management tool.