title: [Chylous ascites after pelvic irradiation for urologic malignancy].
abstract: METHODS
  A 74-year-old woman had a history of transitional papillary carcinoma of the urethra, treated with brachytherapy and radiation therapy. She was hospitalized for exploration of chylous ascites. After a work-up, we concluded it was due to chyloperitoneum caused by a post-radiation lymphatic opening. Conservative treatment, including a low-fat high-protein diet, together with medium-chain triglycerides, led to the drying of the ascites.
  
  
  CONCLUSIONS
  Development of chylous ascites after radiation therapy requires first of all a search for a tumor recurrence. Nonetheless, radiation induction must be considered; its course is usually benign with good response to conservative treatment.
authors.affiliation: Service de gastro-entérologie, Hôpital Habib Thameur, Montfleury, TN-1008 Tunis, Tunisie. asma.kchaou@voila.fr
authors.forename: Asma
authors.initials: A
authors.lastname: Ouakaa-Kchaou
authors.forename: Rim
authors.initials: R
authors.lastname: Ennaifer
authors.forename: Hela
authors.initials: H
authors.lastname: Elloumi
authors.forename: Najet
authors.initials: N
authors.lastname: Belhadj
authors.forename: Dalila
authors.initials: D
authors.lastname: Gargouri
authors.forename: Asma
authors.initials: A
authors.lastname: Kochlef
authors.forename: Afef
authors.initials: A
authors.lastname: Kilani
authors.forename: Malika
authors.initials: M
authors.lastname: Romani
authors.forename: Jamel
authors.initials: J
authors.lastname: Kharrat
authors.forename: Abdeljabbar
authors.initials: A
authors.lastname: Ghorbel
mesh_terms: D000368:Aged; D002915:Chylous Ascites / Q000209:etiology*; D005260:Female; D006801:Humans; D011878:Radiotherapy / Q000009:adverse effects; D014523:Urethral Neoplasms / Q000532:radiotherapy*