Chylous Ascites: Presence of milky lymph (CHYLE) in the PERITONEAL CAVITY, with or without infection.Ascites: Accumulation or retention of free fluid within the peritoneal cavity.Chylothorax: The presence of chyle in the thoracic cavity. (Dorland, 27th ed)Peritoneovenous Shunt: 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.Parenteral Nutrition, Total: 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.Pericardiectomy: Surgical excision (total or partial) of a portion of the pericardium. Pericardiotomy refers to incision of the pericardium.Lymphangiomyoma: 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.Lymphangiectasis, Intestinal: 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.Jejunostomy: Surgical formation of an opening through the ABDOMINAL WALL into the JEJUNUM, usually for enteral hyperalimentation.Pericarditis, Constrictive: 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.Choledochal Cyst: 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.Abdomen, Acute: 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.Drainage: The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.

*  Chylous ascites following liver resection - Case report | ScholarBank@NUS

Prabhakaran, K.,Patankar, Jahoorahmad M.V.,Neo, Grace T.H. (2004). Chylous ascites following liver resection - Case report. ...

*  Efficacy and Safety of RAD001 in Patients Aged 18 and Over With Angiomyolipoma Associated With Either Tuberous Sclerosis...

Clinically significant chylous ascites. *Clinically significant hematological or hepatic abnormality. *Severe liver dysfunction ...

*  A-Z Chest Radiology | Aorta | Lung

Associated with chylous ascites. HRCT - numerous random thin-walled cysts of varying size and relatively regular shape. There ... Ascites is demonstrated in 30%.. Mesothelioma. Lobulated pleural masses in the left upper zone. Mean survival is poor ,1 year. ... is a common association with chylous pleural effusions (70%). Management Lung biopsy may be required to confirm the diagnosis. ...

*  Hand-assisted retroperitoneoscopic live donor nephrectomy : experience from the first 75 consecutive cases

Nine patients experienced minor complications (fever, n=4; urinary tract infection, n=2; chylous ascites, n=1; orchialgia, n=1 ...

*  Mesenteric Panniculitis - NORD (National Organization for Rare Disorders)

Abdominal distension from chylous ascites has also been described. A thorough examination to rule out peripheral ...

*  GastroHep News Story

Current management of chylous ascites. is a Blackwell Publishing registered trademark. © 2017 Wiley-Blackwell and ...

*  Publications - Mayo Clinic

Management of refractory chylous ascites with peritoneovenous shunts. J Vasc Surg Venous Lymphat Disord. 2017 Jul; 5: (4)538- ... Noel AA, Gloviczki P, Bender CE, Whitley D, Stanson AW, Deschamps C. Treatment of symptomatic primary chylous disorders. J Vasc ...

*  Management of gall bladder perforation evaluation on ultrasonography: report of six rare cases with review of literature.

6730118 - Chylous ascites after retroperitoneal lymphadenectomy: successful management with perit.... 16500478 - Pneumocephalus ...

*  Antivascular Therapy for Epithelial Ovarian Cancer

... and chylous ascites (probably due to lymphatic disruption by targeting VEGF-C) in 5%. Development of GI perforations and ... chylous ascites appeared to correlate with tumor response [35].. There is a trend towards increased toxicity when BEV is ... The accumulation of ascites results mainly from the increased permeability of the peritoneal capillaries. VEGF, also known as ... L. Xu, J. Yoneda, C. Herrera, J. Wood, J. J. Killion, and I. J. Fidler, "Inhibition of malignant ascites and growth of human ...

*  lymphedema tarda after liver transplantation [Lymphedema People]

Chylous ascites. Am J Gastroenterol 2002; 98: 1896-1900 2. Asfar S, Lowndes R, Wall WJ. Chylous ascites after liver ... Warren shunts are an uncommon cause of chylous ascites [9], and chylous ascites rarely develops after liver transplantation [2 ... Evaluation and management of chylous ascites. Ann Intern Med 1982; 96: 358-364 5. Aalami OO, Allen DB, Organ CH Jr. Chylous ... Chylous ascites, a rare complication of aortic surgery. Vasa 1995; 24: 377-381 9. Maywood BT, Goldstein L, Busuttil RW. Chylous ...

* - Deposit for Medical Articles

Spontaneous chylous ascites after laparoscopic cholecystectomy: a case report. Arpit Bansal, Ashwani Kumar Bansal, Vandana ...

*  Sanjiv Chopra - Wikipedia

Cardenas, Andres; Chopra, Sanjiv (2002). "Chylous ascites". The American Journal of Gastroenterology. 97 (8): 1896-900. doi: ...

*  Pediatrics | ACG Case Reports Journal - An online journal of case reports edited by gastroenterology & hepatology fellows

Congenital Chylous Ascites and Ehlers-Danlos Syndrome Type VI. Anna K. Ermarth, MD1,2, John Pohl, MD1,2, Brittany Esty, MD1, ...

*  CJU International - The Canadian Journal of Urology

... a novel therapy for refractory chylous ascites 2012; 19(3): 6250 - 6254. ... Barone, G. JosephCaruso J. Daniel, Ankem K. Murali, Riordan John, Barone G. Joseph: Urinary ascites secondary to forniceal ... Ankem, K. MuraliCaruso J. Daniel, Ankem K. Murali, Riordan John, Barone G. Joseph: Urinary ascites secondary to forniceal ...

*  Plus it

Mice with Ang-2 knockout appear to have normal vascular development but develop edema and chylous ascites associated with ...

*  Lymphatic vascular morphogenesis in development, physiology, and disease | JCB

The disease is frequently complicated by systemic dysfunction of lymphatic vessels, such as chylothorax and chylous ascites ( ...

*  Prepper Haven • View topic - 1001 Uses For Coconut Oil

Chylous ascites. Pancreatitis. Hemorrhoids. Pancreatectomy (surgical removal of the pancreas). Cholecystectomy (surgical ...

*  Abdominal cavity - Wikipedia

Chylous ascites heals best if the lymphatic vessel involved is closed. Heart failure can cause recurring ascites. Another ... When fluid collects in the abdominal cavity, this condition is called ascites. This is usually not noticeable until enough ...

*  ORBi: Browsing ORBi

The visualized structure was confirmed to be a dilated cisterna chyli at necropsy in a dog with chylous ascites. The confirmed ... to describe the ultrasonographic characteristics of the dorsal portion of cisterna chyli in dogs and cats with chylous ascites ...

*  Cystic Lymphangioma disease: Malacards - Research Articles, Drugs, Genes, Clinical Trials

Bilateral Cystic Lymphangioma of Ovary Associated with Chylous Ascites. ( 26435959 ) Nerune S.M....Mulay H.D. ... Unusual Presentation of Giant Omental Cystic Lymphangioma Mimicking Haemorrhagic Ascites in a Child. ( 26704862 ) ...

*  Cardiovascular and Interventional Radiology[Journal] Publications and Abstracts |

Results: Of the total 31 patients, 25 presented with chylous ascites secondary to iatrogenic trauma and six patients with a non ... Lymphangiography and Lymphatic Embolization for the Treatment of Refractory Chylous Ascites.. *Authors: ... who presented for the management of refractory chylous ascites was conducted to assess the diagnostic value of conventional and ... and lymphatic embolization for the diagnosis and treatment of refractory chylous ascites.. Materials And Methods: A ...

*  High Yield Facts and Buzz Words | Plastic Surgery Key

Congenital lymphedema, chylous ascites, bilateral pleural effusions. Hereditary Hemorrhagic Telangiectasia (Osler-Weber- Rendu) ...

*  PubMed Heart Transplant | Transplant Professional Portal

For the Diagnosis and Treatment of Chylous Ascites: Technique and Experience in Three Patients. ... Chylous ascites resolved in all 3 (100%) patients.. CONCLUSION: BORAL and BORALE provide a rational and effective approach for ... presented with chylous ascites and underwent BORAL or BORALE between March 2016 and February 2017. Patients presented with ... For the Diagnosis and Treatment of Chylous Ascites: Technique and Experience in Three Patients. Sat, 12/09/2017 - 13:45 ...

*  Peritoneal fluid excess | definition of Peritoneal fluid excess by Medical dictionary

Chylous ascites has a milky appearance caused by lymph that has leaked into the abdominal cavity. Although chylous ascites is ... chyliform ascites , chylous ascites the presence of chyle in the peritoneal cavity owing to anomalies, injuries, or obstruction ... Related to Peritoneal fluid excess: ascites, Peritoneal cavity fluid Ascites. Definition. Ascites is an abnormal accumulation ... Patient discussion about ascites. Q. Does ascites mean it's the end? My mother, age 65 was diagnosed with ovarian cancer in a ...

(1/60) Chyloabdomen in a mature cat.

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)

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

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)

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

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)

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

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)

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

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)

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

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)

(7/60) Isolated foetal ascites.

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)

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

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 cause of the posttransplant lymphedema was likely related to a developmental abnormality of the lymphatic system that was exaggerated by refractory chylous ascites. (
  • A peritoneal fluid with a milky appearance, chylous ascites is rich in triglyceride and is caused by the obstruction or disruption of abdominal lymphatic channels. (
  • In the patient we describe, lymphedema tarda , which was diagnosed 6 months after liver transplantation, was likely caused by chylous ascites and a developmental abnormality of the lymphatic system. (
  • Chylous ascites heals best if the lymphatic vessel involved is closed. (
  • Serious sequelae could develop and include infection of the lymphocele, obstruction and infection of the urinary tract, intestinal obstruction, venous thrombosis, pulmonary embolism, chylous ascites and lymphatic fistula formation. (
  • The consensus clinical definition of LAM includes multiple symptoms: Fatigue Cough Hemoptysis (rarely massive) Chest pain Chylous complications arising from lymphatic obstruction, including Chylothorax Chylous ascites Chylopericaridium Chyloptysis Chyluria Chyle in vaginal discharge Chyle in stool. (
  • A chyle fistula occurs when defect(s) of lymphatic vessel(s) result in leakage of lymphatic fluid, typically accumulating in the thoracic (pleural) or abdominal (peritoneal) cavities, leading to a chylous pleural effusion (chylothorax) or chylous ascites, respectively. (


  • Management of refractory chylous ascites with peritoneovenous shunts. (
  • The manifestations of his liver disease included hepatic encephalopathy, refractory ascites, extreme fatigue, lower-extremity edema, and hepatocellular carcinoma. (
  • In March 2005, 9 months after the transplantation, bilateral nonpitting lower-extremity edema and diuretic-refractory ascites developed and were treated with large-volume paracentesis every 2 weeks (± 0.66 week). (
  • Safety and Effectiveness of Palliative Tunneled Peritoneal Drainage Catheters in the Management of Refractory Malignant and Non-malignant Ascites. (
  • To determine the safety and effectiveness of tunneled peritoneal catheters in the management of refractory malignant and non-malignant ascites. (
  • An IRB-approved retrospective review was undertaken of patients who underwent ultrasound and fluoroscopy-guided tunneled peritoneal catheter placement for management of refractory malignant or non-malignant ascites between January 1, 2009, and March 14, 2014. (


  • The typical disease course displays progressive dyspnea on exertion, spaced by recurrent pneumothoraces and in some patients, chylous pleural effusions or ascites. (
  • Further, the occurrence of chylous effusions seems to be unrelated to the pathologic "burden" of the disease, the extent of involvement in any particular tissue or organ, or the age of the patient. (
  • This offers one explanation as to why, unfortunately, the appearance of chylous effusions in the chest or abdomen may be the first evidence of the disease. (
  • Analysis of the fluid in pleural effusions generally shows high levels of protein but low levels of cholesterol and lactate dehydrogenase, but about 30% of effusions are chylous (chylothorax) in that they have the characteristics of lymph. (


  • The accumulation of ascites results mainly from the increased permeability of the peritoneal capillaries. (


  • Involvement of the arms and face is more unusual, as is lymphedema of the abdomen with ascites (fluid collection in the abdominal cavity) and fluid collection around the heart. (


  • Magnetic resonance imaging (MRI), including MRI angiography and venography of the abdomen and pelvis, revealed marked ascites and patent blood vessels. (


  • When fluid collects in the abdominal cavity, this condition is called ascites. (


  • The consequences of vessel and airway obstruction include chylous fluid accumulations, hemoptysis, airflow obstruction and pneumothorax. (


  • Because of the patient's persistent chylous ascites, a lymphangiogram was performed to determine whether the thoracic duct was intact. (


  • Angiogenesis has also an important role in the formation of ascites, a frequent clinical feature of advanced ovarian cancer. (