Chyloperitoneum in a peritoneal dialysis patient.
A woman with end-stage renal disease underwent peritoneal dialysis. On initiation of treatment, there was turbid peritoneal dialysis fluid, which proved to be of chylous rather than inflammatory origin. A low-fat and medium-chain triglycerides diet induced visible clearing of the fluid and a decrease in its triglyceride concentration. Challenge with a high-fat diet produced two early recurrences. After 8 months, dietary fat no longer induced chyloperitoneum. The patient was able to continue peritoneal dialysis at home without a recurrence.
Levy
R I
RI
Department of Medicine, Sinai Hospital of Baltimore, Inc, Baltimore, MD 21215, USA.
Wenk
R E
RE
D002915:Chylous Ascites / Q000175:diagnosis / Q000178:diet therapy / Q000209:etiology*; D003404:Creatinine / Q000032:analysis; D015314:Dialysis Solutions / Q000737:chemistry; D018752:Diet, Fat-Restricted; D004041:Dietary Fats / Q000008:administration & dosage; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000150:complications; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000009:adverse effects*; D014280:Triglycerides / Q000032:analysis
D015314:Dialysis Solutions; D004041:Dietary Fats; D014280:Triglycerides; D003404:Creatinine