We report a patient with end-stage renal disease status after two renal transplantations. Milky-like ascites was noted since the immunosuppressant agent was switched to sirolimus (1 mg/day). Chylous ascites was diagnosed owing to the triglyceride of dialysate to serum being 15.98:15.99. Series studies were all negative. It is highly suspected that the cause of chylous ascites is sirolimus relat...

To the Editor: I read with interest the article on “Congenital chylous ascites and lymphedema in Down’s syndrome” published in Nov. 2012 issue [1]. However I would like to make some comments on the management of the given case. Association of Down syndrome with primary chylous ascites has been well documented in literature with previous published case reports [2, 3]. Though authors mention inve...

we reported a 14 months old boy referred for evaluation of chylous ascites to our nuclear medicine department. tc-99m phytate was injected subcutaneously in his calves and whole body images as well as abdominal spect were performed. the spect images could localize an area of several intestinal lymphangiomata in the abdominal region. the abnormal region was surgically resected and the patient as...

Recently, sirolimus, an inhibitor of mammalian target of rapamycin, was reported to decrease chylous effusion in patients with lymphangioleimyomatosis (LAM). We herein report a case of a 34-year-old woman with LAM who developed refractory chylothorax and chylous ascites during sirolimus therapy. In this case, to reduce chylous effusion, we administered octreotide, which is often used to control...

Chylous ascites has rarely been reported in yellow nail syndrome. A case of chylous ascites in yellow nail syndrome is described which was treated successfully with dietary restriction of fat and supplements of medium chained triglycerides.

To study the clinical manifestations, pathogenesis, and treatment of liver cirrhosis with chylous hydrothorax and ascites. Methods: A case of liver cirrhosis with chylous hydrothorax and ascites was reported and the related literature was reviewed. Results: The patient was hospitalized due to massive ascites. Paracentesis and a low-fat diet were effective. Diuretics, liver protection-therapy, a...

Chylous ascites is a rare and challenging clinical condition that occurs as a result of disruption of the abdominal lymphatics. We include a review of the literature describing the etiology, diagnosis, and therapy of chylous ascites.

Chylous ascites is a clinical entity characterized by accumulation of milky fluid containing high amounts of triglycerides in the peritoneal cavity. The cause is usually lymphatic obstruction secondary to neoplastic processes. Constrictive pericarditis rarely causes cylous ascites through elevated venous pressure and lymphatic stasis. To the best of our knowledge, there is no report of constric...

Chylous ascites is defined as the accumulation of chyle in the peritoneum due to obstruction or rupture of the peritoneal or retroperitoneal lymphatic glands. Chylous ascites that arises from acute pancreatitis with portal vein thrombosis is very rare. We report here on a case of chylous ascite that was caused by acute pancreatitis with portal vein thrombosis, in which the patient showed an imp...

Chylous ascites is a rare disease, only two cases associated with gastroschisis have been published. We report a case treated conservatively with total parenteral nutrition (TPN) and octreotide. We reviewed the literature about management options for the chylous ascites.