title: [Chylous ascitis revealing a non-Hodgkin lymphoma].
abstract: BACKGROUND
  Chylous ascitis is a rare form of ascitis, characterised by a milky, triglyceride-rich, liquid. It is due to an interruption in the lymphatic system due either to an obstruction or to a post-traumatic wound. We report a case of revealing a non-Hodgkin lymphoma.
  
  
  METHODS
  A 71 Year-old man consulted for abdominal distension attributed to a chylous ascitis. Peripheral adenopathies were palpable. The abdominal scan revealed voluminous lumbar-aortal adenopathies. The diagnosis of grade IV (Ann Arbor classification) centro-follicular non-Hodgkin lymphoma was retained. The ascitis disappeared following chemotherapy.
  
  
  CONCLUSIONS
  Chylous ascitis is an uncommon complication of lymphomas, although representing the main cause in adults in developed countries. The underlying mechanism is an obstruction to sub-diaphragmatic draining lymphatic due to lymphomatous infiltration. Hyperalimentation, a low, dietary restriction of long-chain triglycerides or peritoneovenous shuntings are ineffective.
  
  
  CONCLUSIONS
  Chylous ascitis is a rare complication of lymphomas, secondary to the obstruction of the abdominal draining lymphatics. Treatment is the same as that of a hematologic malignancy.
authors.affiliation: Département de médecine interne, Centre hospitalier, Laënnec. claude.bachmeyer@ch-creil.fr
authors.forename: Claude
authors.initials: C
authors.lastname: Bachmeyer
authors.forename: Mehdi Alexandre
authors.initials: MA
authors.lastname: Henni
authors.forename: Anne-Sophie
authors.initials: AS
authors.lastname: Blanc
authors.forename: Benjamin
authors.initials: B
authors.lastname: Langman
authors.forename: Firouze
authors.initials: F
authors.lastname: Kazerouni
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Cadranel
mesh_terms: D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D002915:Chylous Ascites / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008224:Lymphoma, Follicular / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D008297:Male; D011860:Radiography, Abdominal; D012074:Remission Induction; D014057:Tomography, X-Ray Computed