[Chylous ascites after pelvic irradiation for urologic malignancy].
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.
Ouakaa-Kchaou
Asma
A
Service de gastro-entérologie, Hôpital Habib Thameur, Montfleury, TN-1008 Tunis, Tunisie. asma.kchaou@voila.fr
Ennaifer
Rim
R
Elloumi
Hela
H
Belhadj
Najet
N
Gargouri
Dalila
D
Kochlef
Asma
A
Kilani
Afef
A
Romani
Malika
M
Kharrat
Jamel
J
Ghorbel
Abdeljabbar
A
D000368:Aged; D002915:Chylous Ascites / Q000209:etiology*; D005260:Female; D006801:Humans; D011878:Radiotherapy / Q000009:adverse effects; D014523:Urethral Neoplasms / Q000532:radiotherapy*