title: Idiopathic chylous ascites treated with total parenteral nutrition and octreotide. A case report and review of the literature.
abstract: Chylous ascites is the accumulation of lipid-rich lymph in the peritoneal cavity. The usual cause in adults is lymphatic obstruction or leakage caused by malignancy. Non-malignant causes include postoperative trauma, cirrhosis, tuberculosis, pancreatitis and filariasis. A variety of treatment options have been proposed for the management of chylous ascites; however, their effectiveness in idiopathic or primary form is unknown. Here we report a case of chylous acid rapidly resolved with the treatment of fasting, total parenteral nutrition and somatostatin analogue.
authors.affiliation: Department of Gastroenterology, Baskent University, Faculty of Medicine, Ankara, Turkey.
authors.forename: Abdullah Emre
authors.initials: AE
authors.lastname: Yildirim
authors.forename: Reskan
authors.initials: R
authors.lastname: Altun
authors.forename: Sevinç
authors.initials: S
authors.lastname: Can
authors.forename: Serkan
authors.initials: S
authors.lastname: Ocal
authors.forename: Enver
authors.initials: E
authors.lastname: Akbaş
authors.forename: Murat
authors.initials: M
authors.lastname: Korkmaz
authors.forename: Haldun
authors.initials: H
authors.lastname: Selçuk
authors.forename: Uğur
authors.initials: U
authors.lastname: Yilmaz
mesh_terms: D000368:Aged; D002915:Chylous Ascites / Q000378:metabolism / Q000628:therapy*; D003131:Combined Modality Therapy; D005215:Fasting; D005765:Gastrointestinal Agents / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D015282:Octreotide / Q000627:therapeutic use*; D010289:Parenteral Nutrition, Total / Q000379:methods*; D014280:Triglycerides / Q000378:metabolism
chemical_list: D005765:Gastrointestinal Agents; D014280:Triglycerides; D015282:Octreotide