Chronic lymphocytic leukemia presenting with massive chylous ascites.
A newly diagnosed patient with chronic lymphocytic leukemia who presented with ascites is described. Paracentesis revealed the presence of massive chylous ascites. Further work-up disclosed leukemic infiltration of the liver and bone marrow. Complications leading to his death included renal failure, gastrointestinal hemorrhage, bacterial peritonitis, and Staphylococcus aureus bacteremia. Chylous ascites is a rarely reported manifestation of chronic lymphocytic leukemia. The case is presented, and a review of the literature is discussed.
Davis
M N
MN
Department of Internal Medicine, University of Medicine and Dentistry, New Jersey School of Osteopathic Medicine, Stratford.
Alloy
A M
AM
Chiesa
J C
JC
Pecora
A A
AA
D000368:Aged; D002915:Chylous Ascites / Q000209:etiology*; D006801:Humans; D015451:Leukemia, Lymphocytic, Chronic, B-Cell / Q000150:complications*; D008297:Male; D018805:Sepsis / Q000209:etiology