Chylous ascites and pleural effusion secondary to constrictive pericarditis presenting with signs of lymphatic obstruction.
Chylous ascites is a clinical entity characterized by accumulation of milky fluid containing high amounts of triglycerides in the peritoneal cavity. The cause is usually lymphatic obstruction secondary to neoplastic processes. Constrictive pericarditis rarely causes cylous ascites through elevated venous pressure and lymphatic stasis. To the best of our knowledge, there is no report of constrictive pericarditis leading to chylous ascites in a patient presenting with objective lymphangiographic findings of lymphatic obstruction rather than stasis. We present a case of chylous ascites and pleural effusion secondary to constrictive pericarditis presenting with signs of lymphatic obstruction in lymphangio-graphy, in whom complete clinical and laboratory improvement was achieved after pericardiectomy.
Amasyali
Basri
B
Department of Cardiology, Gulhane Military Medical Academy. Ankara, Turkey.
Heper
Gulumser
G
Akkoc
Ozkan
O
Yuksel
U Cagdas
UC
Kilic
Ayhan
A
Isik
Ersoy
E
D002915:Chylous Ascites / Q000209:etiology*; D005260:Female; D006801:Humans; D008206:Lymphatic Diseases / Q000150:complications*; D008875:Middle Aged; D010492:Pericardiectomy; D010494:Pericarditis, Constrictive / Q000150:complications* / Q000601:surgery; D010996:Pleural Effusion / Q000209:etiology*