Resumen

JOFRE, Paulina; GRASSI, Bruno  y  BENITEZ, Carlos. Management of chylous ascites and chylothorax. Report of one case. Rev. méd. Chile [online]. 2020, vol.148, n.8, pp.1202-1206. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872020000801202.

Chylous Ascites (CA) and chylothorax (CTx) are associated with obstruction, disruption or insufficiency of the lymphatic system. We report a 68-year-old male, with a history of alcoholic cirrhosis, who had recurrent events of CTx and CA. After a complete study, no other etiologies other than portal hypertension were found. Therapy with diuretics, nothing per mouth, parenteral feeding plus octreotide did not relieve symptoms. A transjugular intrahepatic portosystemic shunt (TIPS) was successfully placed and pleural effusion subsided. This case shows that CA and CTx can be caused by portal hypertension and they may subside employing a multimodal management strategy.

Palabras clave : Chylous Ascites; Hypertension, Portal; Liver Cirrhosis; Nutritional Support; Portasystemic Shunt, Transjugular Intrahepatic.

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