Chylous ascites caused by portal vein thrombosis treated with octreotide.
Chylous ascites is an uncommon entity with variable causes and rarely arises from portal vein thrombosis. This is a case report of chylous ascites caused by idiopathic portal vein thrombosis that was refractory to medical therapy and shunt surgery, which showed an impressive response to treatment with subcutaneous octreotide. We review the literature on chylous ascites with particular reference to the role of somatostatin analogs in the management of this rare condition.
Leong
Rupert W L
RW
Department of Gastroenterology and Hepatology, Sir Charles Gairdner Hospital, University of Western Australia, Perth, Western Australia, Australia. rupertleong@hotmail.com
House
Anthony K
AK
Jeffrey
Gary P
GP
D000328:Adult; D002915:Chylous Ascites / Q000188:drug therapy* / Q000209:etiology; D005260:Female; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications; D015282:Octreotide / Q000627:therapeutic use*; D011169:Portal Vein; D020246:Venous Thrombosis / Q000150:complications*
D015282:Octreotide