Peritoneovenous Shunt
Parenteral Nutrition, Total
Pericardiectomy
Lymphangiomyoma
Lymphangiectasis, Intestinal
Jejunostomy
Pericarditis, Constrictive
Choledochal Cyst
Abdomen, Acute
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)The symptoms of chylous ascites can include abdominal distension, pain, nausea, vomiting, and diarrhea. The condition is often diagnosed through a physical examination, imaging tests such as CT scans or ultrasound, and a sample of the ascitic fluid drawn from the peritoneal cavity.
Treatment options for chylous ascites depend on the underlying cause of the condition, but may include chemotherapy, radiation therapy, surgery, or drainage of the ascitic fluid. In some cases, a procedure called paracentesis may be performed to remove excess fluid and relieve symptoms.
Prognosis for patients with chylous ascites is generally poor, as it is often a sign of an underlying malignancy or other serious condition. However, the outlook can vary depending on the specific cause of the condition and the effectiveness of treatment.
Treatment options for ascites include medications to reduce fluid buildup, dietary restrictions, and insertion of a catheter to drain the fluid. In severe cases, a liver transplant may be necessary. It is important to seek medical attention if symptoms persist or worsen over time.
Ascites is a serious condition that requires ongoing management and monitoring to prevent complications and improve quality of life.
There are several potential causes of chylothorax, including:
1. Injury or trauma to the chest wall or lymphatic vessels
2. Cancer, such as lung, breast, or lymphoma
3. Infection, such as tuberculosis or cat-scratch disease
4. Genetic conditions, such as Turner syndrome or Noonan syndrome
5. Inflammatory conditions, such as rheumatoid arthritis or sarcoidosis
6. Postoperative complications
7. Pancreatitis
8. Abdominal tumors
9. Thoracic injuries
Symptoms of chylothorax may include:
1. Shortness of breath
2. Chest pain that worsens with deep breathing or coughing
3. Coughing up cloudy, milky fluid (chyle)
4. Fever
5. Night sweats
6. Weight loss
7. Fatigue
8. Swelling in the legs or arms
Diagnosis of chylothorax is typically made through a combination of physical examination, medical history, and diagnostic tests such as chest X-rays, computed tomography (CT) scans, and ultrasound. Treatment options for chylothorax depend on the underlying cause, but may include:
1. Draining the fluid from the pleural space through a procedure called thoracentesis
2. Medications to manage symptoms such as pain and fever
3. Surgery to repair any underlying damage or injuries
4. Chemotherapy or radiation therapy to treat underlying cancer
5. Infection treatment if the chylothorax is caused by an infection
6. Conservative management with supportive care, such as oxygen therapy and respiratory therapy, if the condition is not severe.
The exact cause of lymphangiomyoma is not known, but it may be associated with genetic mutations or other factors that affect the development of the lymphatic system. The symptoms of lymphangiomyoma can vary depending on the size and location of the tumor, but may include:
* A soft tissue mass that is movable under the skin
* Swelling or redness in the affected area
* Pain or discomfort in the affected area
* Difficulty swallowing or breathing (in rare cases)
Lymphangiomyoma is typically diagnosed through a combination of physical examination, imaging studies such as CT or MRI scans, and a biopsy to confirm the presence of cancer cells. Treatment options for lymphangiomyoma can vary depending on the size and location of the tumor, but may include:
* Observation and monitoring to see if the tumor grows or changes over time
* Surgery to remove the tumor and any affected tissue
* Radiation therapy to kill cancer cells and shrink the tumor
* Chemotherapy to kill cancer cells and shrink the tumor
The prognosis for lymphangiomyoma is generally good, as it is a benign tumor that does not spread to other parts of the body. However, in rare cases, the tumor may grow large enough to cause symptoms or complications, such as:
* Compression of nearby structures, such as nerves or blood vessels
* Infection of the tumor or surrounding tissues
* Rupture of the tumor, leading to bleeding or fluid accumulation in the affected area.
Overall, lymphangiomyoma is a rare and usually benign tumor that can occur in the lymphatic system. While it may cause symptoms or complications in some cases, the prognosis is generally good with appropriate treatment.
Sources: Merck Manual, Gastrointestinal Disease, 2nd ed., pp. 1446-1447; Dorland's Illustrated Medical Dictionary, 30th ed., pp. 850-851; American Journal of Roentgenology, vol. 167, no. 2, pp. 339-345.
Constrictive pericarditis is often caused by inflammation or infection of the pericardial sac, and can also be a complication of other conditions such as heart surgery, trauma, or cancer. Treatment typically involves management of symptoms and addressing any underlying causes, and may include medications, surgery, or cardiac catheterization.
Surgical treatment for constrictive pericarditis may involve removal of the inflamed pericardial sac or repair of any tears or holes in the sac. Cardiac catheterization may be used to drain excess fluid from the pericardial space and relieve pressure on the heart. In severe cases, a procedure called pericardiocentesis may be performed to remove the pericardial fluid and relieve pressure on the heart.
Prognosis for constrictive pericarditis is generally good if treated promptly and effectively, but can be poor if left untreated or if there are underlying conditions that are not addressed.
The exact cause of choledochal cysts is not well understood, but they are believed to result from developmental abnormalities during fetal life. In some cases, there may be associated genetic mutations or other congenital anomalies. The diagnosis of a choledochal cyst is typically made using imaging studies such as ultrasound, CT scan, or MRI, and the cyst may be removed surgically if it causes symptoms or if it becomes infected.
There are several types of choledochal cysts, including:
1. Type I: This is the most common type, where the cyst is located near the liver and has a distinctive "dome-shaped" appearance.
2. Type II: This type is located near the pancreas and has a more irregular shape.
3. Type III: This type is located near the gallbladder and has a small opening into the bile duct.
4. Type IV: This type is located further down the bile duct and has no opening into the duct.
Choledochal cysts are relatively rare, occurring in approximately 1 in 250,000 to 1 in 500,000 live births. They can be associated with other congenital anomalies such as polycystic kidney disease, Turner syndrome, and Down syndrome. The surgical removal of a choledochal cyst is typically curative, but long-term follow-up is often necessary to monitor for potential complications such as bile duct stricture or cancer.
Example of how 'Abdomen, Acute' might be used in a medical setting:
"The patient presents with acute abdominal pain and fever, which suggests a possible infection or blockage in the abdominal cavity."
Sanjiv Chopra
Milroy's disease
Lymphatic filariasis
Abdominal cavity
Chylothorax
Lymphangioleiomyomatosis
Lymphocele
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Chyle
Pleural cavity
Horse colic
Lymphangiectasia
Lymphangiomatosis
Yellow nail syndrome
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The diagnosis and therapy of chylous ascites]. | Zhonghua Wai Ke Za Zhi;43(1): 25-8, 2005 Jan 01. | MEDLINE
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Ascite1
- To diagnose 40 patients of chylous ascite with regular test and quantitative analysis of chyle , direct lymphangiography , CT (immediately after direct lymphangiography ), lymphangioscintigraphy, MRI. (bvsalud.org)
Cirrhosis1
- The most common causes of pleural effusion are congestive heart failure, pneumonia, cancer, cirrhosis with ascites, and coronary artery bypass graft. (clinlabnavigator.com)
Diseases1
- Lymphatic microsurgery will play more and more important roles in the treatment of chylous diseases . (bvsalud.org)
Bloody1
- Bloody, but rarely clear or chylous. (med2date.com)
Diagnosis3
- The diagnosis and therapy of chylous ascites]. (bvsalud.org)
- To discuss the diagnosis and therapy of chylous ascites . (bvsalud.org)
- Since the management of pancreatic ascites differs from that of cirrhotic or chylous ascites, it is recommended that this diagnosis be considered whenever a patient develops severe ascites after a distal splenorenal shunt. (johnshopkins.edu)
Patient2
- Lymphatic dysplasia and chylous reflux were found in almost every patient , total parenteral nutrition showed good results. (bvsalud.org)
- The case is of a patient requiring a Denver shunt for chronic chylous ascites. (americanjir.com)
Case1
- The present report is the first documented case of pancreatic ascites occurring after this operation. (johnshopkins.edu)
Patients1
- In the majority of cases the clinical and laboratory evaluation of patients with ascites is sufficient to reveal the cause of fluid accumulation. (bvsalud.org)
Protein Losing Ente1
- Central conducting lymphatic anomalies (CCLA) occur when there is a disruption of central lymphatic flow resulting in complications such as non-immune fetal hydrops, chylothorax, chylous ascites, protein-losing enteropathy, other effusions, or lymphedema. (nih.gov)
Chylothorax1
- Obstruction of lymphatics may result in lymphangioleiomyomas, chylothorax, and chylous ascites. (medscape.com)
Lymphangiectasia1
- In children, the most common causes of chylous ascites are congenital abnormalities, such as lymphangiectasia, mesenteric cyst, and idiopathic "leaky lymphatics. (medscape.com)
Effusion1
- 9. [A case of lymphangioleiomyomatosis found due to chylous ascites, pleural effusion and pelvic lymphadenopathy]. (nih.gov)
Effusions3
- Chylous effusions may develop when these channels are injured or obstructed. (medscape.com)
- 7. Cytologic, immunocytochemical and ultrastructural characterization of lymphangioleiomyomatosis cell clusters in chylous effusions of patients with lymphangioleiomyomatosis. (nih.gov)
- The 2017 American Thoracic Society/Japanese Respiratory Society guidelines support a clinical diagnosis of LAM based on high-resolution computed tomography (HRCT) findings typical for LAM (eg, diffuse, thin-walled, round) and accompanied by any of the following clinical features: TSC, renal angiomyolipoma, cystic lymphangioleiomyoma, or chylous pleural effusions in the chest and/or abdomen. (medscape.com)
Insufficiency1
- A 51-year-old-woman with a clinical picture of chronic hepatic insufficiency and chylous ascites]. (nih.gov)
Abdominal3
- Chylous ascites is an uncommon clinical condition that occurs as a result of disruption of the abdominal lymphatics. (medscape.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)
- Abdominal surgery is a common cause of chylous ascites. (medscape.com)
Hepatic1
- Chylous ascites has been reported in patients with polycythemia vera and resulting hepatic vein thrombosis. (medscape.com)
Lymphatic4
- The working diagnosis based on the physical examination and imaging findings was CHYLOUS ASCITES with tracking of lymphatic fluid into the left groin through a defect in the internal inguinal ring. (medscape.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)
- [ 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)
- The chylous ascites in this child with type 1 TD and survival past the neonatal stage suggests that type 1 TD may be accompanied by abnormalities of the lymphatic channels. (nih.gov)
Fluid4
- Drainage of chylous fluid during diagnostic laparoscopy. (medscape.com)
- True chylous ascites is defined as the presence of ascitic fluid with high fat (triglyceride) content, usually higher than 110 mg/dL. (medscape.com)
- Chylous ascites, with report of chemic examination of the fluid by S. (nih.gov)
- Accumulation of lymph fluid in the abdomen can cause swelling (chylous ascites). (nih.gov)
Obstruction1
- Based on animal experiments, Blalock concluded that obstruction of the thoracic duct alone was not sufficient to cause chylous ascites. (medscape.com)
Treatment1
- 6. [Lymphangiomyomatosis with chylous ascites treatment successfully by peritoneo-venous shunting]. (nih.gov)
Days1
- At 28 days, chylous ascites developed. (nih.gov)