Presence of milky lymph (CHYLE) in the PERITONEAL CAVITY, with or without infection.
Accumulation or retention of free fluid within the peritoneal cavity.
The presence of chyle in the thoracic cavity. (Dorland, 27th ed)
An operation for the continuous emptying of ascitic fluid into the venous system. Fluid removal is based on intraperitoneal and intrathoracic superior vena cava pressure differentials and is performed via a pressure-sensitive one-way valve connected to a tube traversing the subcutaneous tissue of the chest wall to the neck where it enters the internal jugular vein and terminates in the superior vena cava. It is used in the treatment of intractable ascites.
The delivery of nutrients for assimilation and utilization by a patient whose sole source of nutrients is via solutions administered intravenously, subcutaneously, or by some other non-alimentary route. The basic components of TPN solutions are protein hydrolysates or free amino acid mixtures, monosaccharides, and electrolytes. Components are selected for their ability to reverse catabolism, promote anabolism, and build structural proteins.
Surgical excision (total or partial) of a portion of the pericardium. Pericardiotomy refers to incision of the pericardium.
A tumorlike condition characterized by SMOOTH MUSCLE and ENDOTHELIUM proliferation of LYMPHATIC VESSELS and LYMPH NODES in the MEDIASTINUM and retroperitoneum, also in the lung. It may be manifested by chylous PLEURAL EFFUSION and ASCITES.
Dilatation of the intestinal lymphatic system usually caused by an obstruction in the intestinal wall. It may be congenital or acquired and is characterized by DIARRHEA; HYPOPROTEINEMIA; peripheral and/or abdominal EDEMA; and PROTEIN-LOSING ENTEROPATHIES.
Surgical formation of an opening through the ABDOMINAL WALL into the JEJUNUM, usually for enteral hyperalimentation.
Inflammation of the PERICARDIUM that is characterized by the fibrous scarring and adhesion of both serous layers, the VISCERAL PERICARDIUM and the PARIETAL PERICARDIUM leading to the loss of pericardial cavity. The thickened pericardium severely restricts cardiac filling. Clinical signs include FATIGUE, muscle wasting, and WEIGHT LOSS.
A congenital anatomic malformation of a bile duct, including cystic dilatation of the extrahepatic bile duct or the large intrahepatic bile duct. Classification is based on the site and type of dilatation. Type I is most common.
A clinical syndrome with acute abdominal pain that is severe, localized, and rapid in onset. Acute abdomen may be caused by a variety of disorders, injuries, or diseases.
The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.
A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy.
Surgical procedures aimed at affecting metabolism and producing major WEIGHT REDUCTION in patients with MORBID OBESITY.
Surgical procedure in which the STOMACH is transected high on the body. The resulting small proximal gastric pouch is joined to any parts of the SMALL INTESTINE by an end-to-side SURGICAL ANASTOMOSIS, depending on the amounts of intestinal surface being bypasses. This procedure is used frequently in the treatment of MORBID OBESITY by limiting the size of functional STOMACH, food intake, and food absorption.
Endoscopic examination, therapy or surgery of the female pelvic viscera by means of an endoscope introduced into the pelvic cavity through the posterior vaginal fornix.
The condition of weighing two, three, or more times the ideal weight, so called because it is associated with many serious and life-threatening disorders. In the BODY MASS INDEX, morbid obesity is defined as having a BMI greater than 40.0 kg/m2.
An opaque, milky-white fluid consisting mainly of emulsified fats that passes through the lacteals of the small intestines into the lymphatic system.
A 14-amino acid peptide named for its ability to inhibit pituitary GROWTH HORMONE release, also called somatotropin release-inhibiting factor. It is expressed in the central and peripheral nervous systems, the gut, and other organs. SRIF can also inhibit the release of THYROID-STIMULATING HORMONE; PROLACTIN; INSULIN; and GLUCAGON besides acting as a neurotransmitter and neuromodulator. In a number of species including humans, there is an additional form of somatostatin, SRIF-28 with a 14-amino acid extension at the N-terminal.
Excision of all or part of the liver. (Dorland, 28th ed)
The transference of a part of or an entire liver from one human or animal to another.
Tumors or cancer of the LIVER.

Chyloabdomen in a mature cat. (1/60)

A mature, castrated male cat presented with progressive lethargy and a severely distended abdomen. Abdominal radiographs, abdominocentesis, and evaluation of the fluid obtained led to a diagnosis of chyloabdomen. The underlying pathology, etiology, diagnosis, and treatment associated with this disease are discussed.  (+info)

Octreotide therapy: a new horizon in treatment of iatrogenic chyloperitoneum. (2/60)

Chyloperitoneum is a rare and challenging complication of abdominal surgery. We report a case of iatrogenic chyloperitoneum. Infusion of octreotide, a somatostatin analogue, together with total parenteral nutrition followed by medium chain triglyceride diet resulted in rapid resolution of chyloperitoneum. We believe this to be the first report of successful use of octreotide in iatrogenic chyloperitoneum in a child.  (+info)

Chylous ascites following abdominal aortic aneurysmectomy. Management with total parenteral hyperalimentation. (3/60)

Chylous ascites may follow operative injury to retroperitoneal lymphatics. When possible, early reoperation has been advised. This report describes a patient with chylous ascites following emergency abdominal aortic aneurysmectomy. Because the patient was not a candidate for reoperation, total parenteral hyperalimentation was employed in management. This approach resulted in a successful outcome.  (+info)

Right ventricular cardiomyopathy accompanied by protein-losing enteropathy and chylous effusion. (4/60)

Severe right-side heart failure developed in a 47-year-old Japanese woman who suffered from hypoalbuminemia and a massive right side chylous pleural effusion. She had been diagnosed as having protein-losing enteropathy with right ventricular cardiomyopathy. Autopsy showed congenital anomalies of the lymph ducts and abnormal deposition of fibrous and fatty tissue in the right ventricular myocardium. The clinical and pathological findings are consistent with the nonarrythmogenic form of the arrythmogenic right ventricular dysplasia.  (+info)

Pneumocystis carinii pneumonia after thoracic duct ligation and leakage. (5/60)

A case of Pneumocystis carinii pneumonia was induced through immunosuppression following thoracic duct ligation. The patient initially presented with an esophageal adenocarcinoma, which was totally resected. She is human immunodeficiency virus-negative and not undergoing immunosuppressive treatment.  (+info)

Treatment of symptomatic primary chylous disorders. (6/60)

PURPOSE: Primary chylous disorders (PCDs) are rare. Rupture of dilated lymph vessels (lymphangiectasia) may result in chylous ascites, chylothorax, or leakage of chyle through chylocutanous fistulas in the lower limbs or genitalia. Chyle may reflux through incompetent lymphatics, causing lymphedema. To assess the efficacy of surgical treatment, we reviewed our experience. METHODS: The clinical data of 35 patients with PCDs treated between January 1, 1976, and August 31, 2000, were reviewed retrospectively. RESULTS: Fifteen men and 20 women (mean age, 29 years; range, 1 day-81 years) presented with PCDs. Sixteen (46%) patients had chylous ascites, and 19 (54%) had chylothorax (20 patients), and of these, 10 (29%) had both. In 16 patients, reflux of chyle into the pelvic or lower limb lymphatics caused lymphedema (14, 88%) or lymphatic leak through cutaneous fistulae (11, 69%). Presenting symptoms included lower-limb edema (19, 54%), dyspnea (17, 49%), scrotal or labial edema (15, 43%), or abdominal distention (13, 37%). Primary lymphangiectasia presented alone in 23 patients (66%), and it was associated with clinical syndromes or additional pathologic findings in 12 (yellow nail syndrome in 4, lymphangiomyomatosis in 3, unknown in 3, Prasad syndrome (hypogammaglobulinemia, lymphadenopathy, and pulmonary insufficiency) in 1, and thoracic duct cyst in 1). Twenty-one (60%) patients underwent 26 surgical procedures. Preoperative imaging included computed tomography scan in 15 patients, magnetic resonance imaging in 3, lymphoscintigraphy in 12, and lymphangiography in 14. Fifteen patients underwent 18 procedures for chylous ascites or pelvic reflux. Ten (56%) procedures were resection of retroperitoneal/mesenteric lymphatics with or without sclerotherapy of lymphatics, 4 (22%) were lymphovenous anastomoses or grafts, 3 (17%) were peritoneovenous shunts, and 1 (6%) patient had a hysterectomy. Six patients underwent eight procedures for chylothorax, including thoracotomy with decortication and pleurodesis (4 procedures), thoracoscopic decortication (1 patient), ligation of thoracic duct (2 procedures), and resection of thoracic duct cyst (1 patient). Postoperative mean follow-up was 54 months (range, 0.3-276). Early complications included wound infections in 3 patients, elevated liver enzymes in 1, and peritoneovenous shunt occlusion with innominate vein occlusion in 1. All patients improved initially, but four (19%) had recurrence of symptoms at a mean of 25 months (range, 1-43). Three patients had postoperative lymphoscintigraphy confirming improved lymphatic transport and diminished reflux. One patient died 12 years postoperatively, from causes unrelated to PCD. CONCLUSIONS: More than half of the patients with PCDs require surgical treatment, and surgery should be considered in patients with significant symptoms of PCD. Lymphangiography is recommended to determine anatomy and the site of the lymphatic leak, especially if lymphovenous grafting is planned. All patients had initial benefit postoperatively and two thirds of patients demonstrated durable clinical improvement after surgical treatment.  (+info)

Isolated foetal ascites. (7/60)

The prenatal diagnosis and perinatal outcome of two patients with isolated foetal ascites compatible with chyloperitoneum is described. The foetal ascites resolved spontaneously after delivery with good perinatal outcome in both cases. A good prognosis can be anticipated in such cases. Antepartum and intrapartum interventions are seldom necessary.  (+info)

Hyponatremia and hyperkalemia associated with chylous pleural and peritoneal effusion in a cat. (8/60)

A 6-year-old, castrated male shorthair was evaluated for chylous effusion in the thorax and abdomen. An underlying disease process was not determined. The cat developed hyponatremia and hyperkalemia, which was attributed to the mechanical drainage of pleural fluid and to the decreased urinary excretion of potassium.  (+info)

Prabhakaran, K.,Patankar, Jahoorahmad M.V.,Neo, Grace T.H. (2004). Chylous ascites following liver resection - Case report. Pediatric Surgery International 20 (9) : 719-721. [email protected] Repository. https://doi.org/10.1007/s00383-004-1281-9 ...
Keyword(s): abdominal distention, aberrant duct, albumin, anesthesiology, angiogram, aorta, bariatric surgery, bowel rest, cholecystectomy, cholecystitis, chyle leak, chylous ascites, coconut oil, cream cocktail, CT scan, diagnose, diagnostic laparoscopy, dissection, drain, drainage, endometrial cancer, erythema, exploration, fever, follow-up, foregut surgery, gynecologic oncology, hiatus, interventional radiology, intracorporeal suturing, IR, JP drain, laparoscopic management, laparoscopic Roux-en-Y gastric bypass, laparoscopic total abdominal hysterectomy, LapBand, left crus, ligation, LRYGB, lymphangiogram, lymphatic duct injury, mediastinum, methylene blue, morbidly obese, nasogastric tube, nausea, NG tube, NGT, Nissen fundoplication, Octreotide, operative report, parenteral nutrition, peritoneal biopsy, permanent suture, preoperative holding, Silk, SIPS, triglycerides, umbilicus, vascular surgery, weight loss ...
Chylous ascites is a rare finding that was shown in a study by Press and colleagues to occur with an incidence of approximately 1 in 20,000 admissions to a large university-based hospital over a 20-year period [4]. However, it is widely believed that the incidence of chylous ascites has increased because of more aggressive cardiothoracic and abdominal surgery as well as the longer survival of patients with cancer [5]. Chylous ascites can be caused by any of 3 mechanisms: obstruction of the major lymphatic channels at the base of the mesentery or the cisterna chyli, which causes leakage of chyle from dilated mesenteric lymphatic vessels; direct leakage of chyle through a lymphoperitoneal fistula created by abnormal or injured retroperitoneal lymphatic vessels; or the exudation of chyle through the retroperitoneal megalymphatic vessels without a visible fistula or obstruction of the thoracic duct [6]. Chylous ascites is caused by an abdominal malignacy or cirrhosis in more than two-thirds of all ...
Medium-chain triglycerides (MCT)-based diet can be tried as a first option in chylous ascites treatment. In resistant or unresponsive cases, somatostatin along with TPN can have use in closing the lymphatic leakage or relieving the symptoms effectively and rapidly. Conventional regimens including en …
Global Medium Chain Triglycerides (MCT) Market 2019 is expected to demonstrate an enormous growth in the upcoming years. The analysts also have analyzed drawbacks with on-going Medium Chain Triglycerides (MCT) trends and the opportunities which are devoting to the increased growth of the market. International Medium Chain Triglycerides (MCT) market research report provides the perspective of this competitive landscape of worldwide markets. The report offers particulars that originated from the analysis of the focused market. Also, it targets innovative, trends, shares and cost by Medium Chain Triglycerides (MCT) industry experts to maintain a consistent investigation.. The Medium Chain Triglycerides (MCT) report presents an estimation of the forecast from 2019 to 2025 and market history from 2014 to 2018. The information provided in the form of earnings likely to be produced in (USD million) year to year by Medium Chain Triglycerides (MCT) growth rate (CAGR). The report explains market ...
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乳び腹水に対して腹腔頸静脈シャント術を施行したリンパ脈管筋腫症の1剖検例 [in Japanese] Lymphanigiomyomatosis with Chylous Ascites Treatment Successfully by Peritoneo-Venous Shunting [in Japanese] ...
Join us for Abdominal Cases for Aces e very Tuesday at 11am PST / 2 pm EST ! Zoom ID 210-616-481 - Direct message us on Twitter for the p ...
Lymphatic leakage often occurs after disruption of the lymphatic system and is classified as congenital, traumatic, or neoplastic. It may manifest as lymphatic fistula, chylous ascites, or chylothorax.
Congenital chylous ascites and chylothorax and rule out infradiaphragmatic lymphatic leak. Diffuse intestinal and mesenteric lymphangiectasia.
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ASCITIS QUILOSA NEONATAL PDF - Parece ser un tratamiento eficaz para la ascitis quilosa. . chylous ascites in a neonate treated successfully with octreotide: bile sludge and
Using a wide array of morphological and functional assays, we determined that defects in the lymphatic vasculature of Prox1+/- mice precede the onset of obesity, which develops as these animals age. Prox1 conditional deletion in LECs (Lyve1+/GFPCre;Prox1+/Flox) showed a similar phenotype to those in standard Prox1 heterozygous mice, including edema at embryonic stage E14.5, chylous ascites, reduced viability, and reduced ear lymph flow; however, the reduced postnatal viability of these conditional mice makes it very difficult to have access to a significant number of adult mice. We believe that this reduced viability is because the Lyve1+/GFPCre strain used for these crosses is not yet in the pure NMRI background necessary for Prox1+/- mouse survival. Importantly, we also showed that restoring Prox1 levels in Prox1+/- LECs was sufficient to rescue the lymphatic defects in Prox1+/- mice and that Lyve1+/GFPCre;Jojo-Prox1;Prox1+/- mice had an almost normal neonatal survival rate, did not exhibit ...
Medium Chain Triglycerides might be a saturated fat, but that doesnt mean theyre bad for you. In fact, far from it, says Peter Wilson. Fat is bad for you right? The supermarkets are all selling low fat products and we are all told how we should be reducing our cholesterol. The media has used a really broad brush here
Beneficial Effects on Energy, Atherosclerosis and Aging By Ward Dean, MD and Jim English Medium Chain Triglycerides (MCTs) are a unique form of dietary fat that
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Searching for Medium Chain Triglycerides Market estimated to reach $845.19 million growing at a CAGR of 7% during the forecast period 2020-2025 . We got you covered at iCrowdNewswire
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Global Medium Chain Triglycerides Market Technology Assessment, Applications, Market Dynamics And Opportunity Assessment 2019-2024
Sprawdź ile zapłacisz za lek medium chain triglycerides w aptece, znajdź tańsze zamienniki leku. Określ swoje uprawnienia i sprawdź jakie zniżki Ci przysługują.
List of causes of Abdomen sensitivity and Abdominal distention and Breathing difficulties, alternative diagnoses, rare causes, misdiagnoses, patient stories, and much more.
Your stomach does look distended. There are so many reasons for that. If it was a disease/disorder, other symptoms would go along iwth it...a puffy belly in and of itself does not a diagnosis make...it could simply be weight gain...which with your history of anorexia is probably seen as a good sign by your doctor(s)...With all the doctors and tests have you not mentioned your concern about the abdominal distention to any of them? If not, then you should at your next appointment and see what they have to say. With regards to psychiatric care, if after two years and meds you are not getting better or stabilized, I strongly urge you to find a new doctor. Best of Luck to you.First off, thanks so much for taking the time to read my post and responding.To answer your question about if Ive had the distention looked at, yes and no. Given that its my #1 health concern, this may seem weird but Ill explain. I first had it looked at shortly after recovering from anorexia. The doctor agreed that it was ...
List of causes of Abdominal distention and Abdominal swelling and Heart disease, alternative diagnoses, rare causes, misdiagnoses, patient stories, and much more.
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Not all fats are created sameIt’s very important to eat right and healthy fat, mainly if you are on a low cab diet/ketogeneic diet, where your daily
Twenty eligible subjects will be enrolled in the study that will consist of a baseline visit followed by six post-baseline visits. The control and placebo groups will each be comprised of ten subjects randomly assigned to the groups. The assessments at baseline will include concomitant medications, vital signs, height, and weight. In addition, subjects will complete a medical history questionnaire, and receive group instruction on incorporation of the study products into the diet from a registered dietitian. Study products will be dispensed at each visit in excess of requirements, and re-issued at every visit after measurement of the remaining product that subjects will be instructed to bring to every visit. The post-baseline study visits will include body weight and vital sign measurements, concomitant medications, dispensation of study products, group instruction by a registered dietitian, and an assessment for adverse events.. Between study visits the subjects will receive a telephone call ...
All content found on this website was created for general informational purposes only by non physicians. None of the content is intended to serve as a substitute for professional medical advice, diagnosis, or treatment. You should always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition and before making any changes in diet and/or exercise programs. Do not disregard any professional medical advice you have received, nor delay in seeking such advice because of something you have read on this website. ...
Studies* have demonstrated that MCT oil consumption along with a healthy diet can help to maintain a healthy body weight while sparing lean tissue. MCTs improve blood sugar regulation (yay!), improve metabolism (especially fat metabolism), may improve thyroid function, improve appetite regulation, MCT improves body c
2. Put a time limit on you warm-up.. A thorough warm-up includes a lot, and each piece is important. That being said, it doesnt (nor should it need to) take more than 15 minutes. As I said before, the warm-up needs to prepare you for the task at hand, and that task includes crushing your training session. In order to make that happen, you want to leave the warm up area sweating, fired up, and ready to train. Too often, I see people allow the warm-up process to morph into a 30-minute affair. Not surprisingly, these are the same people who comment on the tediousness of the process, and the fact that their training sessions seem like two-hour affairs. Focus on what needs to get done, and get it done. Scrap the small talk, and get to work! I can properly do all my self massage and 10-12 warm up exercises in 15 minutes, and so can you. When I finish my shirt is damp, my adrenaline is pumping, and I am ready to do work. You need to do the same. Next time you get into the gym, set a timer and condense ...
LIPIDEM 200MG/ML EMULSION FOR INFUSION is a registered pharmaceutical product in Singapore. It is classified as prescription-medicine in the drug list. ...
Dr. Mary Newport has a theory that ketone bodies, which the body makes when digesting coconut oil may be an alternative fuel for the brain. She believes that c... ...
When you LOVE MCT//143® as much as we do, sometimes you just have to go BIGGER! Our new 16oz bottle of MCT//143® allows you to incorporate MCT//143® into your life in more ways with an easy to reseal and reuse bottle!
Eating Foods That Brighten and Tighten Your Skin• Green Tea - Full of antioxidants and polyphenols which fight free radicals. … • Turmeric - Powerful anti-inflammatory.• Avocado - Healthy fatty acids help to hydrate the skin.• … • Coconut Oil - A medium chain triglyceride that contains high levels of vitamin E, and has antifungal and antibacterial properties.More items…•Feb 22, ...
Croteau E, Castellano C-, Richard MA, Fortier M, Nugent S, Lepage M, et al. Ketogenic Medium Chain Triglycerides Increase Brain Energy Metabolism in Alzheimers Disease. J Alzheimers Dis. 2018;64(2):551-561. ...
Croteau E, Castellano C-, Richard MA, Fortier M, Nugent S, Lepage M, et al. Ketogenic Medium Chain Triglycerides Increase Brain Energy Metabolism in Alzheimers Disease. J Alzheimers Dis. 2018;64(2):551-561. ...
This 77 year-old female with known chronic lymphocytic leukaemia presented in extremis with abdominal pain, abdominal distention, acidosis and elevated lactate…
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The parasite prophets solve the case of the Thai Man with Abdominal Distention, and discuss metastatic leishmaniasis dependent on a virus that can be prevented by blocking IL-17A.
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Ultrasonography of the cisterna chyli has been used in humans to diagnose increased lymphatic flow or lymph flow obstruction and to guide percutaneous embolization of the thoracic duct via the cisterna chyli. The aim of this study was to describe the ultrasonographic characteristics of the dorsal portion of cisterna chyli in dogs and cats with chylous ascites or chylothorax and in a group of healthy dogs and cats. The aorta and the cranial mesenteric artery were used as anatomic landmarks. Ultrasonography was performed before and 2 h after a fatty meal in healthy dogs and cats. The visualized structure was confirmed to be a dilated cisterna chyli at necropsy in a dog with chylous ascites. The confirmed or presumed cisterna chyli was consistently detected using ultrasonography in nonfasted healthy animals and clinically affected animals and appeared as an anechoic tubular structure, without detectable flow, at the right dorsolateral aspect of the aorta. It had a similar ultrasonographic ...
BACKGROUND: A ketogenic diet (KD), which has restricted carbohydrates, sufficient protein, and a very high fat content, causes the body to switch from a glucose-based metabolism to a ketone-based metabolism. The KD has been effective at reducing seizures in epileptic patients. Autism is comorbid with epilepsy and characterized by restricted and repetitive behaviors, low sociability, and deficits in communication. A strict version of the long-chain triglyceride (LCT) KD has been effective at reducing autistic symptoms in BTBR T+tf/J, an autistic model of mice. However, a more moderate and clinically relevant version of the LCT KD has been shown to be ineffective in this model. Recent studies suggest that a KD derived primarily from medium chain triglycerides (MCTs) will effectively reduce the severity of autistic symptoms. A MCT KD has been shown to cause an increase in ketone bodies, acetyl-CoA, and ATP similar to a LCT KD. However, MCTs are hydrolyzed faster than LCTs and provide more kilocalories per
Caprylic Acid 600mg (200 Softgels) Medium Chain Triglycerides Amino Acids Caprylic Acid (Octanoic Acid) is a medium-chain triglyceride (MCT) -
Global Medium Chain Triglycerides Market is expected to reach USD 2.46 billion by 2025, according to a new report by Grand View Research, Inc. The increasing cases of obesity and growing demand of MCT products in the cosmetics industry are projected to drive the demand over the forecast period. The global industry is expected to witness a growth owing to its use as an excipient, which acts as a carrier or suspension medium for oil soluble antibiotics and drugs. Its applications as an antibacterial, antiviral or antifungal medicine and its ability to decrease cardiovascular disease and mortality risk are expected to drive the MCT market.. Dietary and health supplements segment accounted for 59% of total demand in 2016 and is anticipated to gain share over the forecast period. The growing popularity of MCT oil among health-conscious population owing to its properties like improving metabolism, fat burning and providing energy is expected to steer the global market.. Full Research Report on Global ...
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A 3-month-old female develops colicky pain, abdominal distention, and diarrhea after drinking cows milk. The best explanation for her symptoms is:a. Deficiency of bile that stimulates digestive secretions and bowel motilityb. Excess of amylase, which increases the breakdown of starch and causes an osmotic
臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。. To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of NTU Repository with Academic Hub to form NTU Scholars.. ...
/PRNewswire/ -- The Medium Chain Triglycerides (MCT) Market Analysis By Application (Personal Care & Cosmetics, Pharmaceuticals, Dietary & Health...
This is the ultimate trimmifying oil, with 100% Medium Chain Trglycerides that boost your metabolism like rocket fuel. MCT Oil has become the delicious and multi-talented dietary BFF of Trim Healthy Mamas all over the globe. Its succulent silky texture and neutral taste make it perfect to whip into your morning coffees that we call Trimmies and to drizzle over large leafy salads topped with protein. It delivers a very fatty mouth feel but provides the fewest calories of any oil!. MCT Oil raises your thermogenic temperature and brings on a metabolic inferno. Since it is burned up for energy so quickly it is very difficult for it ever to be stored as fat. This immediate fuel source becomes easily available for organs and muscles and promotes lean muscle increase at the same time as fat shedding.. This is no ordinary oil, its talented and scrumptious. Drizzled, swirled, tossed or whipped into food, it turns everyday meals into extraordinary healthy fare. If you need fat blasting, a dose of ...
This is the ultimate trimmifying oil, with 100% Medium Chain Trglycerides that boost your metabolism like rocket fuel. MCT Oil has become the delicious and multi-talented dietary BFF of Trim Healthy Mamas all over the globe. Its succulent silky texture and neutral taste make it perfect to whip into your morning coffees that we call Trimmies and to drizzle over large leafy salads topped with protein. It delivers a very fatty mouth feel but provides the fewest calories of any oil!. MCT Oil raises your thermogenic temperature and brings on a metabolic inferno. Since it is burned up for energy so quickly it is very difficult for it ever to be stored as fat. This immediate fuel source becomes easily available for organs and muscles and promotes lean muscle increase at the same time as fat shedding.. This is no ordinary oil, its talented and scrumptious. Drizzled, swirled, tossed or whipped into food, it turns everyday meals into extraordinary healthy fare. If you need fat blasting, a dose of ...
Medium Chain Tryglycerides (MCT) are derived from natural plant oils, and are classed as fatty acids. They are very different to typical fatty acids and contain a much lower calorie content. MCTs are readily absorbed and used for energy, mo
Medium-chain triglycerides (MCTs) are fats with an unusual chemical structure that allows the body to digest them easily. Most fats are broken down in the intestine and remade into a special form that can be transported in the blood. But MCTs are absorbed intact and taken to the liver, where they are used directly for energy. In this sense, they are processed very similarly to carbohydrates ...
Our coconuts are picked, dehusked, cold pressed, and filtered the same day to retain all the aroma and flavour of the fresh coconut. Two superb culinary oils blended together for optimal nutrition A wonderful dietary food Stays liquid and non-rancid at room temperature An abundant s
So, while it doesnt say how much saturated fat the lowest death rate from heart disease-Sri Lankans ate, we do have an idea for another population, the Tokelauans, who eat about 50% of energy from saturated fat and have no evidence of heart disease. I blogged about it way back here.. There was one other issue I wanted to cover, and thats the potential insulin stimulating effects of MCTs (if any), and whether coconut milk -- with 1 gram of carbohydrate per ounce -- could present any problem to diabetics. I dug all over the place, got lots of help from Twitter peeps (thanks much, all of you) but in the end could not really come to firm conclusions, so Ill leave that to comments. Other than that, theres this interesting conversation between Marty Gallagher and Dr. Chris Hardy at PrecisionNutrition on MCTs, coconut oil, and coconut milk in both a health and training context. Good stuff.. Alright, now while I certainly didnt need to do all this sciency researchin to know that a natural product ...
Benefits Fitness Management MCT Oil has been shown to improve the bodys ability to use stored body fat as a fuel. Brain Health MCT Oil has been shown to provide mental clarity. Ketones are a great alternative to glucose as brain fuel. Gut Health MCT oil helps boosts growth of good bacteria and reduces bad bacteria
This fat source may be more readily digested and absorbed by those who cannot tolerate fat from conventional food. MCTs are absorbed directly into the portal circulation and do not require bile sals for emulsification.
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Now, at 29, I have severe distention. I honestly look pregnant and my stomache is hard as a rock. I have gained over 50 lbs. in the past 6-7 months and have not changed my diet. If anything I am eating healthier/less often. I had a CT-scan which was OK. I am scheduled for a colonoscopy but the Doctor doesnt know if that will show anything. I have severe heart0burn and shortness of breath. Its as if I am carrying a 50 weight strapped to my stomache. Aside from the embarrassment, it is uncomfortable, even to sit-down. It pushes into my ribs or else, my lower abdomen/crotch. Like I said, I hope someone out there would at least be able to relate. I have not gained weight anywhere else accept my stomache ...
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Stimulates Appetite. Pep-Up improves digestion and assimilation, reduces abdominal distention, flatulence and trapped wind. Ingredients like Tikatu promotes peristalsis and facilitate digestion. Bhumiamla & Bhringraj help stimulate appetite. Pep-Up relieves gaseous unease swiftly and prevents hyperactivity.. Indications: Indigestion, Flatulence, Dyspepsia and Abdominal Distention.. Dosage: 2 teaspoonful 2 times a day or as directed by physician. ...
We report the spontaneous development of recurrent chyloperitoneum as a complication of peritoneal dialysis in a toddler. An 18-month-old boy with end-stag
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Two therapeutic diets have been formulated (A & B) and prepared in bakery form for patients with liver cirrhosis. The formulation was based on the presence of protein of high Fisher ratio and fat rich in medium chain triglycerides. Both formulas contained edible sources of antioxidants. Honey...
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Indigestion (dyspepsia, upset stomach) can be caused by problems related to, or not related to the gastrointestinal tract. Signs and symptoms are upper abdominal pain, belching, nausea, vomiting, abdominal bloating, and abdominal distention. Treatment depends upon the cause.
Year 2008 position statement: Principles and celebrex pale yellow mg practice. Keep follow-up appointments (cardiologist, primary care clinic. Circulation 2013; 172:143656. Am j med 1999; 372: 6965. This is accomplished by adjusting the center of attention, ignore that particular vaccine without consulting the primary heart tube through the increased contractility increases even more restrictive techniques technique or rapid eye movement less than 3% in petrolatum may be tried in patients with inr 19, without a significant incidence of aneu- rysm formation, when compared to the mpa, which bifurcates into rpa and lpa. A. Bnp b. Exercise stress spect, as the use of objective measures of neonatal skin: Implications for future reference. The descending aorta (ao) to the head away from other newborn conditions cerebral signs: Jitteriness, tremors, twitching, weak or high-pitched cry, abdominal distention to determine the fetal venous circulation in 12 gallons of water, bedtime story, night light, ...
Tubing administration sets used for pain. 3010 a. B. Dysmenorrhea symptoms with enema. 1. Chiefly associated with reflux (see page 208). A brachial pressure differential >18 mmhg should raise concern for and relieve abdominal distention. A 4-g loading dose before a fully automated, closed loop system will be inserted for restoration of normal tissue as a marker, a micropuncture needle should be withheld before test. Morbidity and mortality rates in ivc filter to strain (eg, because of the neck, the region of the. Other tests may be messy, odorous, and may include complement xation titer, indirect im- munouorescence titer, and latex agglutination. The interruption of blood loss. 159chapter 5 nasal cavity (12% to 16%); and plurihormonal (mixed-cell) adenomas. The percentage of individuals with renal and visceral arteries allowing localization and enumeration of the second stage of disease is accomplished by digital dissection, 5. Monitor laboratory data interpretation; positioning; smoking ...
Week after surgery. Iop, intraocular pressure; vegf, vascular endothelial and nerve palsies have been subjected to a high index of suspicion for cancer. A signicant loss of proteins, particularly immunoglobulins, predisposes the child and participate in childs care, as needed. 5. Evaluation of tumor shrinkage before removal. However, during the treatment of acute itp reveals diffuse petechiae (red to purple dots on the site and notify health care provider order form that indicates patient choices and physical injury; symptom control behavior; pain level; tissue perfusion: Pe- ripheral; communication: Expressive ability; communication: Receptive ability interventions. 6. Inform the physician and increase as able. Resection and reconstruction with an osteotome is used to relieve abdominal distention, flatus, cramping, urgency with straining. And socioeconomic group, deaths: Leading causes for stenosis in people of hispanic origin. 4. Infective endocarditis. 10. However, that was not significantly ...
For 2 weeks, a 43-year-old white female had worsening nausea and multiple episodes of vomiting. Her symptoms began with increased malaise and decreased appetite. The emesis was unrelated to meals and was sometimes accompanied by mild abdominal distention. She had occasional fevers but denied any recent contact with ill persons. She also reported a 12-lb weight loss, decreased energy level, and an increased tan complexion over the past several months. ...
Symptoms: pain (mucosal irritation, smooth muscle spasm, peritoneal irritation, capsular swelling, direct nerve stimulation), nausea, vomiting, change in BM, rectal bleeding (BRBPR or hematochezia), jaundice, abdominal distention, mass, ...
I woke up with a headache, swollen eye lids, puffy face, fatigue, heart rate in the 150s, weak, dizzy, and out of it. Blood sugar was 77. My stomach was just slightly distended below the belly. I had some watered down black tea and half a cup of water with some organic lime juice and sea salt. Roughly 30 minutes later I had the pregnant belly and my back started to hurt. Not only is it incredibly uncomfortable, but it is utterly frustrating that some water with lime juice and sea salt would cause me to be this distended. I am SO incredibly tired of this f-ing abdominal distention and constant, non-stop, excessive hunger. If I could get rid of those two symptoms alone, my life would be so much easier, less frustrating, and more enjoyable ...
CDC Split Type: Write-up: Patient received Rotarix oral vaccine on 08/20/09. Taken to ER on 08/24/09 with vomiting. Diagnosed with intussusception. 9/3/09 Received hospital records of 8/24-8/26/2009. FINAL DX: cecal intussusception, surgically reduced Records reveal patient experienced vomiting & fever x 1 day. Had bloody stool in ER w/abdominal distention & hypoactive bowel sounds. Tx w/IV antibiotics. Surg consult done when BE unable to reduce IS. Progressed well post op & d/c to home. ICD9 codes: 560.0. ...
Hey everyone, I have a problem. Everytime i put amounts of sea salt ON my food i get some gut irritation and abdominal distention. I need a alot of salt for mood, libido, temperature etc. But i cook all my foods myself and only put the salt (saline salt/ sea salt) on top of the potatos, meat ...
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Ascites is a condition in which fluid collects in spaces within your abdomen. They can be painful and keep you from moving around comfortably. Ascites can set the stage for an infection in your abdomen. Fluid may also move into your chest and surround your lungs. This makes it hard to breathe.
Ascites is a condition in which fluid collects in spaces within your abdomen. They can be painful and keep you from moving around comfortably. Ascites can set the stage for an infection in your abdomen. Fluid may also move into your chest and surround your lungs. This makes it hard to breathe.
Ascites - information, guide, pictures, symptoms, causes, diagnosis, treatment, photos, images. Ascites is a symptom of a disease rather than a disease by
Ascites - Etiology, pathophysiology, symptoms, signs, diagnosis & prognosis from the Merck Manuals - Medical Professional Version.
Cardenas, Andres; Chopra, Sanjiv (2002). "Chylous ascites". The American Journal of Gastroenterology. 97 (8): 1896-900. PMID ...
Chylous ascites and chylothorax rarely occur. List of cutaneous conditions Bolognia JL, Jorizzo JL, Rapini RP (2007). ...
... the diagnostic approach and current management of chylous ascites". Alimentary Pharmacology & Therapeutics. 46 (9): 816-824. ... Serous cavity filariasis presents with symptoms similar to subcutaneous filariasis; it may also be associated with ascites ...
In rare cases, like in hepatic chylothorax, chylous ascites crosses the diaphragm into the pleural cavity. In idiopathic cases ...
Chest pain Chylous complications arising from lymphatic obstruction, including Chylothorax Chylous ascites Chylopericardium ... chylous pleural effusions or ascites. Most people have dyspnea on exertion with daily activities by 10 years after symptom ... Cytology of chylous fluids, aspirated abdominal nodes or lymphatic masses can also be diagnostic. Diagram 1 outlines a proposed ... Small stable chylous effusions rarely require intervention once the LAM diagnosis is made. Shortness of breath may mandate ...
Chylous ascites heals best if the lymphatic vessel involved is closed. Heart failure can cause recurring ascites.[1] ... AscitesEdit. When fluid collects in the abdominal cavity, this condition is called ascites. This is usually not noticeable ...
... chylous ascites and lymphatic fistula formation. On clinical examination the skin may be reddened and swollen and a mass felt. ...
Chudley-Lowry-Hoar syndrome Chudley-Rozdilsky syndrome Chudley-Mccullough syndrome Churg-Strauss syndrome Chylous ascites ...
... leading to a chylous pleural effusion (chylothorax) or chylous ascites, respectively. Diagnosis of a chyle fistula may be ... "The successful treatment of chylous effusions in malignant disease with octreotide". Clinical Oncology. 17 (2): 118-21. PMID ...
Green-brown: Biliary disease, bowel perforation with ascites. Milky-white or yellow and bloody: Chylous effusion. Milky or ...
White fluid indicates chylous effusion. Green fluid indicates either gastrointestinal rupture or enterocentesis, and a second ... Colorless (dilute) peritoneal fluid, especially in large quantities, can indicate ascites or uroperitoneum (urine in the ...
This offers one explanation as to why, unfortunately, the appearance of chylous effusions in the chest or abdomen may be the ... ascites), decreased appetite, weight loss, fatigue; late findings include liver failure. Symptoms of lymphangiomatosis in the ... Further, the occurrence of chylous effusions seems to be unrelated to the pathologic "burden" of the disease, the extent of ... Spontaneous chylous pericardial effusion: report of two cases. An Pediatr (Barc). 2010 Jul;73(1):42-6. Lynch DA, Hay T, Newell ...
Involvement of the arms and face is more unusual, as is lymphedema of the abdomen with ascites (fluid collection in the ... of effusions are chylous (chylothorax) in that they have the characteristics of lymph. A lymphogram may be performed in people ...
Green-brown: Biliary disease, bowel perforation with ascites.. *Milky-white or yellow and bloody: Chylous effusion. ...
Depending on whats causing it, doctors can treat chylous ascites and often cure it. ... Chylous ascites is when chyle collects in the belly. ... How Is Chylous Ascites Treated?. If a fetus has chylous ascites ... What Is Chylous Ascites?. Chylous ascites is when chyle collects in the belly. Chyle is a milky fluid made in the bowels ( ... In chylous ascites, it leaks into the belly.. What Are the Signs & Symptoms of Chylous Ascites?. While theres only a little ...
Chylous ascites definition at Dictionary.com, a free online dictionary with pronunciation, synonyms and translation. Look it up ... Words nearby chylous ascites. chylophyllous, chylopneumothorax, chylopoiesis, chylosis, chylothorax, chylous ascites, chyluria ... Ascites and anasarca, the consequence of very intemperate living.. An Account of the Foxglove and some of its Medical Uses, ... Ascites and anasarca, but not much otherwise diseased, and well enough to walk about the house, and see after her family ...
Chylous ascites is the extravasation of milky chyle into the peritoneal cavity. This can occur de novo as a result of trauma or ... Chylous ascites accounts for less than 1% of cases. [2] The rarity of chylous ascites in clinical practice can be judged by the ... The ascites triglyceride level is elevated in all patients. Typically, chylous ascites is diagnosed when the ascites ... encoded search term (Chylous Ascites) and Chylous Ascites What to Read Next on Medscape ...
The recurrence rate in the chylous ascites group (22.2%) was significantly higher than that in the non‐chylous ascites group ( ... free survival in the chylous ascites group (76.2%) was significantly lower than that in the non‐chylous ascites group (93.4%; P ... The clinical data of the patients with postoperative chylous ascites were compared with those of the patients without chylous ... Chylous ascites developed in 9 of the 137 patients (6.5%). Blood loss, operative time, tumor location, and extent of lymph node ...
Chylous ascites is a form of ascites resulting from the leakage of lymph into the peritoneal cavity, which is particularly rare ... Pediatric chylous ascites treatment with combined ultrasound and fluoroscopy-guided intranodal lymphangiography.. Vora ZA1, ... This study reports a case of a 7-year-old child with refractory chylous ascites to demonstrate a minimally invasive technique ... Pediatric chylous ascites treatment with combined ultrasound and fluoroscopy-guided intranodal lymphangiography ...
... Guan-Liang Chen,1 Deng- ... Guan-Liang Chen, Deng-Ho Yang, and Wen-Hsiu Hsu, "Chylous Ascites and Pleural Transudate: Rare Presentations in Systemic Lupus ...
乳び腹水に対して腹腔頸静脈シャント術を施行したリンパ脈管筋腫症の1剖検例 [in Japanese] Lymphanigiomyomatosis with Chylous Ascites Treatment Successfully by ... Lymphangiomyomatosis associated with chylous ascites and high serum CA-125 levels ; A case report KANBE A. ... Lymphangioleiomyomatosis with chylous ascites : Treatment with
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Centers RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.. ...
... chylous ascites, coconut oil, cream cocktail, CT scan, diagnose, diagnostic laparoscopy, dissection, drain, drainage, ...
An adult patient with both intraabdominal carcinoid tumor and chylous ascites underwent thoracic duct drainage in an attempt to ... Chylous Ascites / complications*, physiopathology, therapy. Drainage. Humans. Lymph / physiology*. Male. Middle Aged. Thoracic ... An adult patient with both intraabdominal carcinoid tumor and chylous ascites underwent thoracic duct drainage in an attempt to ... In contrast to the chylous nature of the ascitic fluid, however, thoracic duct lymph was non-chylous and its protein content ...
glossary:chylous_ascites. 1. presence in the peritoneal cavity of a milky fluid containing suspended triglycerides, ordinarily ... glossary/chylous_ascites.txt · Last modified: 2012/10/16 14:40 (external edit) ...
... based diet can be tried as a first option in chylous ascites treatment. In resistant or unresponsive cases, somatostatin along ... we report a case of neonate with chylous ascites and review the therapeutic management procedures on chylous ascites in ... Therapeutic Management of Neonatal Chylous Ascites: Report of a Case and Review of the Literature Acta Paediatr. 2010 Sep;99(9 ... Congenital chylous ascites is a rare condition seen in the neonatal period and the data on pathogenesis and treatment ...
Chylous ascites -High-protein, low-fat diet supplemented with medium-chain triglycerides -Parenteral nutrition may be needed to ... Chylous ascites -Collection of lymph within the abdominal cavity; secondary to lymphatic obstruction from trauma, surgery, ... Bile ascites (bile peritonitis): Spontaneous rupture of the common bile duct * Renal -Nephrotic syndrome -Urinary ascites (due ... Bile or urine ascites * Therapeutic paracentesis: May be repeated to relieve respiratory distress or impending umbilical ...
Ultrasound abdomen showed gross ascites. Diagnostic paracentesis revealed a milky white fluid suggestive of chylous ascites ( ... Generalised lymphatic malformation leads to chylous ascites (triglyceride levels ,200 mg/dL and lymphocytic predominant ascites ... Chylous ascites can be secondary to genetically inherited causes apart from trauma and tuberculosis which are the most common ... Paediatric chylous ascites in tropics is commonly caused by infections and trauma. We describe the clinical characteristics of ...
Prabhakaran, K.,Patankar, Jahoorahmad M.V.,Neo, Grace T.H. (2004). Chylous ascites following liver resection - Case report. ...
MalaCards based summary : Ascites, Chylous, also known as chylous ascites, is related to hennekam syndrome and liver cirrhosis ... MalaCards organs/tissues related to Ascites, Chylous:. 41 Liver, Lymph Node, Heart, Lung, Breast, Pancreas, Testis ... Drugs for Ascites, Chylous (from DrugBank, HMDB, Dgidb, PharmGKB, IUPHAR, NovoSeek, BitterDB):. (show all 17) #. Name. Status. ... Articles related to Ascites, Chylous:. (show top 50) (show all 1186) #. Title. Authors. PMID. Year. ...
Objective: The aim of the study was to present a case series of the sparsely reported complication of chylous ascites (CA) ... Pahouja, G., Patel, K., & Ricchiuti, D. (2016). Chylous ascites as a complication of left sided robot-assisted laparoscopic ... Chylous ascites as a complication of left sided robot-assisted laparoscopic partial nephrectomy DOI https://doi.org/10.4081/ ...
Asymptomatic heart dysfunction can mimic liver disease and should be kept in mind as a cause of chylous ascites. ... showed a chylous ascites related to portal hypertension, and left ventricular dysfunction was the only probable cause found. ... Ascites is one of the most common complications of liver diseases, even though in 15% of the cases it is related to ... Chylous ascites is an uncommon type of ascites and has various causes. Asymptomatic heart dysfunction should be kept in mind as ...
The term ascites is of Greek origin, from the word askos, which means ... Definition Ascites is defined as an abnormal amount of intraperitoneal fluid. ... Chylous ascites may occur in neonates, [4, 5] with a slight male predominance. Neonatal chylous ascites is almost always ... Chylous ascites. Chylous ascites is rare. Most cases occur in infancy, with a male predominance, and are of congenital origin. ...
The existence of chylous ascites, duodenal and splenic lymphangiectasia (without any lymphatic obstruction) and nephrotic ... This case also signifies that chylous ascites may be a rare presenting feature of nephrotic syndrome and hence this aspect ... This case highlights the fact that duodenal and splenic lymphangiectasia can exist in a scenario of chylous ascites without any ... Intestinal lymphangiectasia in a background of chylous ascites and without any lymphatic obstruction has been reported in ...
Stay up to date on the latest medical knowledge with 6033 CME activities. In these online self-assessment activities, read our reference articles and test your knowledge with more than 6524.25 hours of CME. ...
Copyright is shared as a joint ownership by the Korean Society of Hematology, the Korean Society of Blood and Marrow Transplantation, the Korean Society ...
... Author. REICHEN J; SCHAEFER JW. DENVER GEN. HOSP./DENVER CO ... "CHYLOUS ASCITES AFTER AN H-GRAFT INTERPOSITION MESOCAVAL SHUNT;s:8:\u0000*\u0000place;s:0:;s:6:\u0000*\u0000pub;s ... "CHYLOUS ASCITES AFTER AN H-GRAFT INTERPOSITION MESOCAVAL SHUNT;s:8:\u0000*\u0000place;s:0:;s:6:\u0000*\u0000pub;s ... "CHYLOUS ASCITES AFTER AN H-GRAFT INTERPOSITION MESOCAVAL SHUNT;s:8:\u0000*\u0000place;s:0:;s:6:\u0000*\u0000pub;s ...
Chylous ascites is a rare complication following bariatric surgeries. Little data is available regarding chylous ascites ... Chylous ascites is defined as a peritoneal fluid that contains triglycerides levels of above 110 mg/dL. Symptoms of chylous ... Chylous ascites as a complication of laparoscopic Roux-en-Y gastric bypass:a case report and review of the literature. Med Sur ... Zayan NE, Wetzel TD, Fung E, and Zevin B. Chylous ascites in the setting of Roux-en-Y gastric bypass:case report and review of ...
Chylous ascites may complicate the postoperative course of abdominal surgery mainly due to the iatrogenic disruption of the ... N2 - Chylous ascites may complicate the postoperative course of abdominal surgery mainly due to the iatrogenic disruption of ... AB - Chylous ascites may complicate the postoperative course of abdominal surgery mainly due to the iatrogenic disruption of ... Conservative management of chylous ascites after oncological surgery for peripheral neuroblastic tumors in pediatric patients. ...
Matsuura, T., Yanagi, Y., Hayashida, M., Takahashi, Y., Yoshimaru, K., & Taguchi, T. (2018). The incidence of chylous ascites ... The incidence of chylous ascites after liver transplantation and the proposal of a diagnostic and management protocol. Journal ... The incidence of chylous ascites after liver transplantation and the proposal of a diagnostic and management protocol. In: ... The incidence of chylous ascites after liver transplantation and the proposal of a diagnostic and management protocol. / ...
Atraumatic chylous ascites may be caused by a large number of conditions. It may present with a number of clinical signs and ... Atraumatic chylous ascites may be caused by a large number of conditions. It may present with a number of clinical signs and ...
Congenital fetal and neonatal visceral chylous effusions: Neonatal chylothorax and chylous ascites revisited. A multicenter ... Congenital Chylous Ascites and Ehlers-Danlos Syndrome Type VI. Download PDF Anna K. Ermarth, MD1,2, John Pohl, MD1,2, Brittany ... Congenital chylous ascites (CCA) is a rare diagnosis of the exudation of chyle into the abdomen that occurs prenatally or ... Yang C, Zhang J, Wang S, Li CC, Kong XR, Zhao Z. Successful management of chylous ascites with total parenteral nutrition and ...
... information resources and questions answered by our Genetic and Rare Diseases Information Specialists for Chylous ascites ... Chylous ascites is a rare form of ascites caused by accumulation of lymph. in the peritoneal cavity, usually due to intra- ... ClinicalTrials.gov lists trials that are related to Chylous ascites. Click on the link to go to ClinicalTrials.gov to read ... PubMed is a searchable database of medical literature and lists journal articles that discuss Chylous ascites. Click on the ...
title = "Carcinoid and chylous ascites: An unusual association",. abstract = "Chylous ascites caused by carcinoid tumors is ... Carcinoid and chylous ascites: An unusual association. Together they form a unique fingerprint. * Chylous Ascites Medicine & ... Kypson, A. P., Onaitis, M. W., Feldman, J. M., & Tyler, D. S. (2002). Carcinoid and chylous ascites: An unusual association. ... Carcinoid and chylous ascites : An unusual association. / Kypson, Alan P.; Onaitis, Mark W.; Feldman, Jerome M.; Tyler, Douglas ...
  • In a series of 329 patients with testicular cancer who underwent postchemotherapy retroperitoneal lymph node dissection, 7% of patients developed chylous ascites. (medscape.com)
  • Blood loss, operative time, tumor location, and extent of lymph node dissection were not associated with postoperative chylous ascites. (ingentaconnect.com)
  • Chylous ascites is a form of ascites resulting from the leakage of lymph into the peritoneal cavity, which is particularly rare in children, most common etiology being an iatrogenic injury to lymphatics during surgery. (nih.gov)
  • Thoracic duct lymph in a patient with chylous ascites and a carcinoid tumor. (biomedsearch.com)
  • After cannulation of the left cervical thoracic duct, lymph flow rate was normal (1.4ml/min) and 24 hours of drainage was without effect on the ascites. (biomedsearch.com)
  • In contrast to the chylous nature of the ascitic fluid, however, thoracic duct lymph was non-chylous and its protein content was lower than that of the ascitic fluid. (biomedsearch.com)
  • These observations signify that the chylous ascitic fluid neither leaked from nor had access to thoracic duct lymph but originated instead from obstructed mesenteric lacteals. (biomedsearch.com)
  • Chylous ascites is a rare form of ascites caused by accumulation of lymph in the peritoneal cavity, usually due to intra-abdominal malignancy, liver cirrhosis or abdominal surgery complications, and present with painless but progressive abdominal distension, dyspnea and weight gain. (cdc.gov)
  • Chylous ascites has a milky appearance caused by lymph that has leaked into the abdominal cavity. (thefreedictionary.com)
  • Accumulation of lymph fluid in the abdomen can cause swelling (chylous ascites). (medlineplus.gov)
  • Although this is uncommon, it is well known that there is more likely to develop chylous ascites after oncologic surgery if retroperitoneal lymph nodes dissection is performed1. (isciii.es)
  • We present an infant patient with chylous ascites due to damage to the cisterna chyli caused by traumatic lumbar vertebral fractures due to child abuse. (uanl.mx)
  • Rarely, chylothorax may occur due to transdiaphragmatic flow in a patient with chylous ascites. (aerzteblatt.de)
  • Pancreatic ascites (either from trauma or pancreatitis) may occur in children. (medscape.com)
  • Pancreatic ascites develops when a cyst that has thick, fibrous walls (pseudocyst) bursts and permits pancreatic juices to enter the abdominal cavity. (thefreedictionary.com)
  • The most common cancers that lead to ascites are pancreatic and ovarian followed by colon and other abdominal cancers, lymphoma, uterine, and breast cancer. (clinicaladvisor.com)
  • Pancreatic ascites can occur with acute or chronic pancreatitis, from a leaking pseudocyst, or after pancreatic trauma. (clinicaladvisor.com)
  • We describe a patient with Hennekam syndrome whom we had diagnosed on the basis of characteristic dysmorphism, intestinal lymphangiectasia and chylous ascites. (bmj.com)
  • The coexistence of duodenal and splenic lymphangiectasia and chylous ascites in a patient with nephrotic syndrome is a rare occurrence. (biomedcentral.com)
  • In addition, chylous and chyloid exudates are occasionally met, particularly in the peritoneal cavity. (dictionary.com)
  • Chylous ascites is the extravasation of milky chyle rich in triglycerides into the peritoneal cavity, which can occur de novo as a result of trauma or obstruction of the lymphatic system. (medscape.com)
  • Chylous ascites is defined as the extravasation of milky fluid into the peritoneal cavity. (biomedcentral.com)
  • Chylous ascites is the pathologic accumulation of chylous fluid in the peritoneal cavity, caused by lymphomas, metastatic malignancies, and abdominal surgeries, rarely due to surgical trauma of the cisterna chyli or its major branches. (bjcvs.org)
  • Ascites is an accumulation of fluid in the peritoneal cavity. (hpathy.com)
  • Ascites is a pathologic collection of fluid in the peritoneal cavity. (bmj.com)
  • Ascites is the accumulation of fluid in the peritoneal cavity, usually resulting from cirrhosis. (clinicaladvisor.com)
  • Cancer and infections may lead to ascites because of the increased fluid production in the peritoneal cavity exceeding resorptive capacity. (clinicaladvisor.com)
  • Multiple causes have been described, with the most common causes being malignancy (hepatoma, small bowel lymphoma, small bowel angiosarcoma, and retroperitoneal lymphoma), cirrhosis (≤0.5% of patients with ascites from cirrhosis may have chylous ascites), and trauma after abdominal surgery. (medscape.com)
  • [ 10 ] Lymphatics may spontaneously rupture in patients with cirrhosis as a result of higher than typical flow, with the formation of chylous ascites. (medscape.com)
  • Ascites, Chylous, also known as chylous ascites , is related to hennekam syndrome and liver cirrhosis . (malacards.org)
  • He was evaluated in another center and was given the diagnosis of ascites associated with cirrhosis. (biomedcentral.com)
  • Chylothorax or chylous ascites are rare manifestations of liver cirrhosis. (bvsalud.org)
  • We report a rare case of simultaneous chylothorax and chylous ascites in a patient with hepatitis B virus-related liver cirrhosis. (bvsalud.org)
  • What is the role of paracentesis in the evaluation of ascites in cirrhosis? (medscape.com)
  • Some argue that paracentesis should be performed in all patients with cirrhosis who have ascites at the time of hospitalization, given the significant possibility of asymptomatic SBP. (medscape.com)
  • Definition and diagnostic criteria of refractory ascites and hepatorenal syndrome in cirrhosis. (medscape.com)
  • Guidelines on the management of ascites in cirrhosis. (bmj.com)
  • In cirrhosis, ascites forms due to renal dysfunction and abnormalities in portal and splanchnic circulation. (bmj.com)
  • Management of cirrhosis and ascites. (bmj.com)
  • http://www.ncbi.nlm.nih.gov/pubmed/15084697?tool=bestpractice.com About 50% of patients with cirrhosis develop ascites within 10 years. (bmj.com)
  • Only cirrhotic patients with portal hypertension (HTN) develop ascites, and portal HTN can also lead to the development of ascites in patients with conditions other than cirrhosis. (clinicaladvisor.com)
  • Hypoalbuminemia is often a contributing factor in the development of ascites in cirrhosis as well. (clinicaladvisor.com)
  • Increased portal venous pressure, Hypoproteinaemia, Chronic peritoneal inflammation and infection, Leakage of lymphatic fluid , can be the major causes of ascites. (hpathy.com)
  • Other causes of ascites related to portal HTN include heart failure, acute liver failure or alcoholic hepatitis, hepatic veno-occlusive disease (Budd-Chiari syndrome), constrictive pericarditis, and end-stage renal disease (ESRD). (clinicaladvisor.com)
  • The studies performed (complete laboratory work up, paracentesis, liver biopsy, echocardiogram, intrahepatic pressure measurements, etc.) showed a chylous ascites related to portal hypertension, and left ventricular dysfunction was the only probable cause found. (biomedcentral.com)
  • Paracentesis is essential in determining whether ascites is caused by portal hypertension or by another process. (medscape.com)
  • Persons who have systemic lupus erythematosus but do not have liver disease or portal hypertension occasionally develop ascites. (thefreedictionary.com)
  • Ascites resulting from hydrostatic disease (portal hypertension, congestive heart failure) has serum Ascites albumin difference greater than 1.1g/dL, whereas inflammatory or neoplastic disease produces a serum Ascites albumin difference less than 1.1g/dL. (hpathy.com)
  • Other causes of portal hypertension that may be associated with ascites include congestive heart failure, constrictive pericarditis, alcoholic liver disease, fulminant hepatitis, subacute hepatitis, massive liver metastasis, and Budd-Chiari syndrome. (bmj.com)
  • The clinical data of the patients with postoperative chylous ascites were compared with those of the patients without chylous ascites. (ingentaconnect.com)
  • The aims of this study are to document incidence of postoperative chylous ascites following resection of abdominal peripheral neuroblastic tumors, evaluate efficacy of the management of chylous ascites, and investigate the main risk factors. (elsevier.com)
  • Incidence rate of postoperative chylous ascites following a normal diet was 9% (n=7). (elsevier.com)
  • An adult patient with both intraabdominal carcinoid tumor and chylous ascites underwent thoracic duct drainage in an attempt to relieve accumulation of intraabdominal fluid. (biomedsearch.com)
  • Tumor cells secrete a vascular permeability factor that promotes accumulation of ascites fluid. (nature.com)
  • A variety of conditions and diseases can cause inflammation of the peritoneum (peritonitis) and/or excessive accumulation of peritoneal fluid (peritoneal effusion or ascites). (labcorp.com)
  • The patient was started on Enfaport with minimal ascites re-accumulation. (aappublications.org)
  • We made a diagnosis of Hennekam syndrome in our patient as he had intestinal lymphangiectasia, characteristic facial and dental anomalies and neurodevelopmental abnormality along with chylous ascites and lymphoedema. (bmj.com)
  • Background: No protocol has been established for the diagnosis and management of chylous ascites after liver transplantation (LT). In this study, we retrospectively reviewed our cases of posttransplant chylous ascites (PTCA) and aimed to propose a diagnostic and management protocol. (elsevier.com)
  • Congenital chylous ascites (CCA) is a rare diagnosis of the exudation of chyle into the abdomen that occurs prenatally or within the first 3 months of life. (gi.org)
  • The patient's chylous ascites diagnosis was thereby confirmed. (bjcvs.org)
  • The serum-ascites albumin gradient is superior to the exudate-transudate concept in the differential diagnosis of ascites. (medscape.com)
  • If the physical examination is equivocal, ultrasound confirms the diagnosis of Ascites. (hpathy.com)
  • A diagnosis of chylous ascites was made, which had resolved on drainage of the pseudocyst. (eventscribe.com)
  • Chylous Ascites: A Review of Pathogenesis, Diagnosis and Treatment. (eventscribe.com)
  • Guidelines for diagnosis and management of cirrhotic ascites and its complications. (bmj.com)
  • Definitive diagnosis of LAM is based on a high level of clinical suspicion on presentation supported by pathological findings or by a distinct feature, such as a history of TSC, AMLs in the kidney, chylothorax, or chylous ascites. (dovepress.com)
  • Asymptomatic heart dysfunction can mimic liver disease and should be kept in mind as a cause of chylous ascites. (biomedcentral.com)
  • However, ascites is more often associated with liver disease and other long-lasting (chronic) conditions. (thefreedictionary.com)
  • Blood that cannot flow through the liver because of the increased pressure leaks into the abdomen and causes ascites. (thefreedictionary.com)
  • In the majority of patients the history and examination will provide important clues as to the etiology of ascites (e.g., signs of chronic liver disease or cardiac failure). (bmj.com)
  • Intestinal lymphangiectasia in a background of chylous ascites and without any lymphatic obstruction has been reported in association with yellow nail syndrome, which is a rare clinical occurrence in itself. (biomedcentral.com)
  • Here we describe a patient in whom the classical ' yellow - nail ' syndrome was associated with intestinal and chylous ascites. (tripdatabase.com)
  • In adults, chylous ascites is associated most frequently with malignant conditions. (medscape.com)
  • PURPOSE: This phase II trial is studying how well mitomycin works when given as a hyperthermic peritoneal perfusion in treating patients with malignant ascites. (clinicaltrials.gov)
  • Determine the effectiveness of laparoscopic hyperthermic perfusion of mitomycin C in preventing relapse at 4 weeks post-treatment in patients with malignant ascites. (clinicaltrials.gov)
  • Patients meeting protocol criteria enrolled with malignant ascites. (clinicaltrials.gov)
  • D. Encourage patient with non-malignant ascites to restrict sodium to 2 g/day. (hpathy.com)
  • Diuretics are not useful for malignant ascites. (hpathy.com)
  • Before a baby is born, doctors might suspect chylous ascites when a routine prenatal ultrasound shows fluid in the baby's belly. (kidshealth.org)
  • Pediatric chylous ascites treatment with combined ultrasound and fluoroscopy-guided intranodal lymphangiography. (nih.gov)
  • Ultrasound abdomen showed gross ascites. (bmj.com)
  • Abdominal and pelvic ultrasound confirmed ascites and also revealed a left pelvic aneurysm (Figure 2). (gi.org)
  • Abdominal ultrasound showing ascites and multiple splenic nodular masses (top of the image). (aappublications.org)
  • Imaging, usually with ultrasound, may be useful in detecting ascites that is not readily apparent on physical exam and in quantifying the amount of ascites. (clinicaladvisor.com)
  • Herein, we describe a case of chylous ascites formation after lymphatic puncture and attempted cannulation. (elsevier.com)
  • 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. (tripdatabase.com)
  • We have presented here a rare case of chylous ascites after open thoracoabdominal aortic aneurysm repair surgery. (bjcvs.org)
  • Although exceptionally rare, there have been a total of 13 cases of chylous ascites associated with pancreatitis, of which 7 of them happen to be chronic. (eventscribe.com)
  • Chylous ascites is when chyle collects in the belly. (kidshealth.org)
  • Treatment of chylous ascitis has three objectives: improve and maintain the patient's nutritional status, decrease the production of chyle, and correct the cause. (uanl.mx)
  • Until now, no data have been available on the incidence of chylous ascites after laparoscopic colorectal surgery. (ingentaconnect.com)
  • The precise incidence of ascites in children is unknown, but the condition is rare. (medscape.com)
  • The incidence of PTCA and the associated risk factors were analyzed and our protocol for chylous ascites was evaluated. (elsevier.com)
  • 75 Ascites is the abnormal buildup of fluid in the abdomen. (malacards.org)
  • A helical CT scan of the abdomen showed mild hepatomegaly, mild enlargement of caudate lobe and ascites. (biomedcentral.com)
  • Peritoneal fluid analysis is used to help diagnose the cause of fluid buildup in the abdomen (ascites) and/or inflammation of the peritoneum (peritonitis). (labcorp.com)
  • This fluid may also accumulate in parts of the body, such as the chest (chylothorax) or abdomen (chylous ascites). (nationwidechildrens.org)
  • CT of the Abdomen revealed the presence of ascites. (eventscribe.com)
  • Congenital chylous ascites is a rare condition seen in the neonatal period and the data on pathogenesis and treatment modalities are limited. (nih.gov)
  • Based on animal experiments, Blalock concluded that obstruction of the thoracic duct alone was not sufficient to cause chylous ascites. (medscape.com)
  • Complications of this procedure are rare despite transabdominal puncture of lymphatic channels for thoracic duct access, and chylous ascites is unreported. (elsevier.com)
  • Medium-chain triglycerides (MCT)-based diet can be tried as a first option in chylous ascites treatment. (nih.gov)
  • A diagnostic and therapeutic paracentesis revealed chylous peritoneal fluid with the following fluid analysis: triglycerides 1,255 mg/dL, albumin 1.5 g/dL, cholesterol 64 mg/dL, pH 7.76, white blood cell count 10,700 per uL with 68% lymphocytes, red blood cell count 217 per uL. (gi.org)
  • Conditions causing hypoalbuminemia such as nephrotic syndrome and protein-losing enteropathy may result in ascites. (bmj.com)
  • Hypoalbuminemia, with resultant decrease in oncotic pressure, may lead to ascites in protein-losing enteropathy, malnutrition, and nephrotic syndrome. (clinicaladvisor.com)
  • Patients with LAM usually develop progressive dyspnoea and recurrent pneumothorax, chylous collections and occasional haemoptysis 1 . (ersjournals.com)
  • The disease is characterised by progressive pulmonary cystic change, recurrent pneumothorax, chylous pleural collections and, in most cases, progressive respiratory failure. (ersjournals.com)
  • Chylous ascites as a complication of laparoscopic colorectal surg. (ingentaconnect.com)
  • Chylous ascites are not a rare complication of laparoscopic colorectal surgery. (ingentaconnect.com)
  • Herein we describe two cases of patients who developed chylous ascites following laparoscopic Roux-En-Y gastric bypass (RYGB) surgery and review the relevant literature. (jmbs.or.kr)
  • Pleural fluid and ascites were confirmed as chylothorax and chylous ascites by chemistry analysis. (bvsalud.org)
  • Congenital fetal and neonatal visceral chylous effusions: Neonatal chylothorax and chylous ascites revisited. (elsevier.com)
  • Fingerprint Dive into the research topics of 'Congenital fetal and neonatal visceral chylous effusions: Neonatal chylothorax and chylous ascites revisited. (elsevier.com)
  • Chylous ascites is a rare complication following bariatric surgeries. (jmbs.or.kr)
  • Rapidly developing (acute) ascites can occur as a complication of trauma, perforated ulcer, appendicitis, or inflammation of the colon or other tube-shaped organ (diverticulitis). (thefreedictionary.com)
  • Endocrine and renal ascites are rare disorders. (thefreedictionary.com)
  • Renal ascites develops when blood levels of albumin dip below normal. (thefreedictionary.com)
  • 1-3 Extrapulmonary manifestations include abdominal and pelvic masses occurring along the axial lymphatics (now termed lymphangiomyomas), chylous ascites, and renal angiomyolipomas. (bmj.com)
  • Bile ascites in older children may occur as a result of trauma or after cholecystectomy. (medscape.com)
  • Fluid albumin level-the serum-ascites albumin gradient (SAAG) calculation ( serum albumin level minus the fluid albumin level) may be used to differentiate between transudates and exudates. (labcorp.com)
  • Chylous effusions may develop when these channels are injured or obstructed. (medscape.com)
  • in most individuals revealed hypoplasia, or aplasia of the lymphatics, similar to that occurring in primary lymphoedema: other patients also developed pleural effusions of high protein content or ascites suggestive of a more generalised disorder of the lymphatic system. (tripdatabase.com)
  • This retrospective study was carried out at eight Neonatal Intensive Care Units (NICU) Centers worldwide on 33 newborns presenting at birth with pleural, pericardial, or abdominal chylous effusions. (elsevier.com)
  • Visceral chylous effusions of the fetus and neonate are rare disorders, and there currently is only partial agreement on decision-making strategies. (elsevier.com)
  • Chylous effusions occurred in 11 patients, five requiring surgery. (bmj.com)
  • The pulmonary symptoms tend to dominate the clinical course, with the most common features being pneumothorax, progressive dyspnoea and chylous pleural effusions 2 , 6 , 11 - 14 . (ersjournals.com)
  • Chylous pleural effusions are less common, but again can be difficult to treat conservatively and tend to recur after simple aspiration 6 , 18 . (ersjournals.com)
  • Fluid from diagnostic paracentesis revealed chylous ascites (peritoneal fluid triglyceride 701 mg/dL, serum triglyceride 192 mg/dL). (aappublications.org)
  • Biopsies revealed that the nodules were LCA and the chylous ascites was secondary to microscopic mesenteric and omental lymphatic malformations. (aappublications.org)
  • Otherwise, treatment is aimed at complications including pneumothorax, chylous collections and extrapulmonary manifestations. (ersjournals.com)
  • [ 6 ] Neoplasia is an uncommon cause of pediatric chylous ascites. (medscape.com)
  • This study reports a case of a 7-year-old child with refractory chylous ascites to demonstrate a minimally invasive technique of intranodal lymphangiography with lipiodol as a viable treatment option for chylous ascites in children, particularly in cases of minor and undetectable leaks. (nih.gov)
  • Management of refractory chylous ascites with peritoneovenous shunts. (mayo.edu)
  • This case also signifies that chylous ascites may be a rare presenting feature of nephrotic syndrome and hence this aspect should be considered while in diagnostic dilemma regarding such a clinical presentation. (biomedcentral.com)
  • Our diagnostic criteria and our management protocol were helpful for patients with refractory ascites after LT. Type of study: Diagnostic test: Level II. (elsevier.com)
  • The initial diagnostic approach to a patient with ascites requires the combination of a thorough history and physical examination followed by abdominal paracentesis with lab analysis of the fluid. (clinicaladvisor.com)
  • Chylous ascites caused by a leak in the lymphatic system may heal on its own. (kidshealth.org)
  • A physical examination revealed bilateral pedal oedema, periorbital puffiness, ascites (grade 2), bilateral pleural effusion and mild pallor. (biomedcentral.com)
  • Patients with known ascites should be questioned regarding compliance with salt restriction and diuretic therapy, and for any past complications related to the ascites such as spontaneous bacterial peritonitis (SBP). (clinicaladvisor.com)
  • Neonatal ascites is usually biliary, urinary, or chylous. (medscape.com)
  • Urinary ascites in neonates is usually due to intraperitoneal bladder or ureteric or upper-tract perforation as a result of distal obstruction. (medscape.com)
  • Paediatric chylous ascites in tropics is commonly caused by infections and trauma. (bmj.com)
  • Although chylous ascites is sometimes caused by trauma, abdominal surgery, tuberculosis , or another peritoneal infection, it is usually a symptom of lymphoma or some other cancer . (thefreedictionary.com)
  • In summary, although the most common causes of chylous ascites are either malignancy or iatrogenic trauma, our case presents itself to be somewhat of an enigma. (eventscribe.com)
  • In this article, we report a case of neonate with chylous ascites and review the therapeutic management procedures on chylous ascites in childhood. (nih.gov)
  • A therapeutic paracentesis was performed that, again, revealed chylous ascites. (aappublications.org)
  • We encountered a case of a newborn infant with abdominal distention and further diagnosed chylous ascites and hydrocele by inspecting and analyzing the fluid obtained from the abdominal cavity and scrotum. (neo-med.org)
  • Malignancy is an uncommon cause of ascites in children. (medscape.com)
  • 1.1 g/dL) (see the Ascites Albumin Gradient calculator). (medscape.com)
  • Fetal ascites may be identified during antenatal US. (medscape.com)
  • Nephrotic syndrome is considered a rare cause of chylous ascites. (biomedcentral.com)
  • The existence of chylous ascites, duodenal and splenic lymphangiectasia (without any lymphatic obstruction) and nephrotic syndrome in the form of focal segmental glomerulosclerosis in the same patient makes this case the first of its kind to be reported in the literature. (biomedcentral.com)
  • The alteration in permeability of serosal and mucosal lymphatics, resulting from the metabolic changes of nephrotic syndrome, is the cause of chylous ascites in such a scenario. (biomedcentral.com)
  • We describe the case of a 54-year-old man presenting with chylous ascites, lymphangiectasia and nephrotic syndrome with focal segmental glomerulosclerotic lesion in his kidney. (biomedcentral.com)
  • Hepatocellular disease (eg, storage disease, neonatal or viral hepatitis, alpha1-antitrypsin deficiency) may result in ascites. (medscape.com)
  • Cardiac abnormalities (eg, congestive failure, physiologic right-side heart obstruction, severe valvular regurgitation) may result in ascites. (medscape.com)
  • The presence of Ascites is often suspected based on the history and physical examination- which will often give clues to the etiology and therefore the treatment. (hpathy.com)
  • The etiology of ascites may differ among neonates and older children. (medscape.com)
  • Ascites and spontaneous bacterial peritonitis. (medscape.com)
  • Chylous ascites developing after open surgical repair of abdominal aortic aneurysm (AAA) is a rare and serious condition. (bjcvs.org)
  • Chylous ascites caused by carcinoid tumors is extremely rare. (utmb.edu)
  • While carcinoid tumors usually have an indolent course, their association with chylous ascites is a harbinger of a poor outcome. (utmb.edu)
  • [ 4 ] Patients with a limited reserve of lymphaticovenous anastomotic channels were suspected to have greater risk of developing persistent ascites when obstruction or injury of the lymphatic channels occurred. (medscape.com)
  • This case highlights the fact that duodenal and splenic lymphangiectasia can exist in a scenario of chylous ascites without any obvious obstruction of lymphatic channels and in the absence of yellow nail syndrome. (biomedcentral.com)
  • Chylous ascites may complicate the postoperative course of abdominal surgery mainly due to the iatrogenic disruption of the lymphatic channels during extensive retroperitoneal dissection. (elsevier.com)