Chylous Ascites and Pleural Effusion Treated With Intravenous Octreotide

Chylous ascites (CA) is uncommon in cirrhosis. It often presents as diuretic-resistant ascites and is associated with increased mortality. Diagnosis is done by the detection of triglyceride-rich ascitic fluid. There are no published guidelines on the management of CA. We describe the case of a middl...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2020-06, Vol.12 (6), p.e8669
Main Authors: Ghimire, Subash, Shah, Harshil, Paudel, Sanjay, Yang, Tsu Jung, Khan, Hafiz M
Format: Article
Language:English
Subjects:
Abdomen
Ascites
Case reports
Gastroenterology
Hospitals
Hypertension
Hypoxia
Internal Medicine
Liver cirrhosis
Patients
Pleural effusion
Surgery
Trauma
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Summary:Chylous ascites (CA) is uncommon in cirrhosis. It often presents as diuretic-resistant ascites and is associated with increased mortality. Diagnosis is done by the detection of triglyceride-rich ascitic fluid. There are no published guidelines on the management of CA. We describe the case of a middle-aged female who presented with CA secondary to cirrhosis, and the challenges associated with her treatment and her management with the use of intravenous octreotide.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.8669