Ascitis quilosa postlaparoscopia abdominal; revisión y descripción de un caso. Jessica Ares1, Paloma Pellejero2, Lucia Díaz-Naya1, Francisco Villazón1, Alicia . La ascitis quilosa es un hallazgo infrecuente producido por la presencia de linfa de origen torácico o intestinal en la cavidad abdominal. Normalmente es. Santos PLA, Milián HG Ascitis quilosa. Informe de dos casos. Acta Med Cent ; 12 (4). Language: Español References: Page: PDF: Kb.

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Chylous ascites is an uncommon finding 1 which is due to the presence of ascltis or intestinal lymph in the abdominal cavity. The serum-ascites albumin gradient is superior to the exudate-transudate concept in the differential diagnosis of ascites. Care of patients with ascites. A 39 years old male with a pancreatic pseudocyst. Khan FY, Matar I. The patient died four days after surgery.

Ten days later this catheter was replaced with a jugular central line because of local phlebitis. Acute and chronic pancreatitis are known causes of chylous ascites. Introduction Chylous ascites is an uncommon finding 1 which is due to the presence of thoracic or intestinal lymph in the abdominal cavity.

Ascitis quilosa secundaria a pancreatitis: caso clínico y revisión de la bibliografía

J Assoc Physicians India ; Preferential location of somatostatin receptors in germinal centers of human gut ascitiis tissue. Quiosa ascites caused by portal vein thrombosis treated with octreotide. Besides it can also produce pleural quolosa effusion and consequent chylothorax. Comment A conservative treatment, with diuretics, low lipids and salt diet, and quilosw repeated paracentesis should be the first options for chylous ascites after nephrectomy.


A case of chylous ascites.

Carretera de Colmenar, km. All these cases occurred in the context of alcohol abuse, gallbladder stone disease, or lipids disorders.

Am J Clin Pathol ; By continuing you agree to the use of cookies. During surgery, chylous ascites quilsa found.


We use cookies to help provide and enhance our service and tailor content and ads. Chylous ascites consists of the accumulation of chyle in the abdominal cavity. J Gastroenterol Hepatol ; Discussion The incidence of chylous ascites in developed countries is approximately one case per 20, admissions, although large epidemiological studies are lacking.

J Gastroenterol Hepatol ; 4: Several days later, the patient worsened again with fever of 39 o C and abdominal pain. Chylous ascites is an extremely rare complication after abdominal aortic surgery that can lead to nutritional, immunological and respiratory consequences.

Evaluation and management of chylous ascites. By continuing you agree to the use of cookies. Chylous ascites is a rare complication after a number of abdominal and retroperitoneal surgeries.

Two years later, with radiological evidence of no abdominal collections not any remnant ascitic fluid, she went on a acsitis diet. Am J Quiloss ; Quiloosa is usually caused by a chronic disruption of the lymphatic system. Author links open overlay panel J. Therefore, the development and resolution of chylous ascites was more insidious than in previous reported cases, and the time between pancreatitis and chylous ascites onset was also longer.

Case report A 68y old woman came to the emergency room suffering from upper abdominal pain, nausea, and occasional vomiting which started several hours before. Filariasis, chyluria asciits chylous effusion. Chylous ascites is an uncommon finding which is due to the presence of thoracic or intestinal lymph in the abdominal cavity.


Diagnosis is established by cytochemical analysis of fluid and staining with Sudan III, that shows fat globules, leukocytes with lymphocytic predominance and a high triglyceride content.

Also the abdominal collections and ascites were reduced and an oral diet was started. Br J Surg ; We use cookies to help provide and enhance our service and tailor content acitis ads.

After extensive medical database search on Medline and Embase, only eight cases of chylous ascites secondary to acute pancreatitis have been reported in english literature before, with different etiologies table III. Other mechanisms that have been involved are the exudation of lymph through the walls of congenital or acquired dilated retroperitoneal vessels into the abdominal cavity, and the obstruction from direct trauma of the thoracic duct 3.

Although they have been used successfully ascigis the treatment of chylous ascites, the mechanism of action in these disorders remains unclear, and need further research. At this time enteral nutrition support was progressively introduced.

Am J Dig Dis ; Chylous ascites associated with pancreatitis is uncommon quilosz octreotide may have a therapeutic role for it. On the other hand, long chain triglycerides in diet must be avoided, as these are converted into free fatty acids and monoglycerides which are transported through the lymphatic system.

Two-thirds of all chylous ascites present in developed countries as a consequence of abdominal malignancy 1,15 and cirrhosis.