Chylous ascites and pleural effusion secondary to constrictive pericarditis presenting with signs of lymphatic obstruction
Japanese Heart Journal, cilt.45, sa.3, ss.535-540, 2004 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 45 Sayı: 3
- Basım Tarihi: 2004
- Doi Numarası: 10.1536/jhj.45.535
- Dergi Adı: Japanese Heart Journal
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.535-540
- Anahtar Kelimeler: chylous ascites, constrictive pericarditis, lymphatic obstruction
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
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 constrictive pericarditis leading to chylous ascites in a patient presenting with objective lymphangiographic findings of lymphatic obstruction rather than stasis. We present a case of chylous ascites and pleural effusion secondary to constrictive pericarditis presenting with signs of lymphatic obstruction in lymphangiography, in whom complete clinical and laboratory improvement was achieved after pericardiectomy. Copyright © 2004 by the Japanese Heart Journal.