title: [A case of adult idiopathic chylothorax with transudative ascites].
abstract: A 70-year-old woman presented at a local clinic because of shortness of breath. Since she was found to have pleural effusion, she was referred to our hospital for further evaluation. She had no history of trauma or surgery. Pleural effusion examination revealed a milky-white, chylous, odorless fluid with increased triglycerides. Further evaluation led to a diagnosis of idiopathic chylothorax. Althought she was found to have transudative ascites, abdominal ultrasonography and computed tomography revealed no significant findings including cirrhosis of the liver. As a result of intravenous hyperalimentation with fasting, the chylous pleural fluid became serous and decreased. Ascites disappeared simultaneously, suggesting a possible relationship between the chylothorax and transudative ascites.
authors.affiliation: Department of Respiratry Medicine, Fujita Health University Second Educational Hospital.
authors.forename: Kashin
authors.initials: K
authors.lastname: Kobayashi
authors.forename: Souichi
authors.initials: S
authors.lastname: Tachikawa
authors.forename: Takahiko
authors.initials: T
authors.lastname: Horiguchi
authors.forename: Rieko
authors.initials: R
authors.lastname: Kondo
authors.forename: Mamoru
authors.initials: M
authors.lastname: Shiga
authors.forename: Masahiro
authors.initials: M
authors.lastname: Hirose
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Sasaki
mesh_terms: D000368:Aged; D001201:Ascites / Q000150:complications* / Q000175:diagnosis; D001202:Ascitic Fluid / Q000000981:diagnostic imaging; D002916:Chylothorax / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D005215:Fasting; D005260:Female; D006801:Humans; D010289:Parenteral Nutrition, Total; D011859:Radiography