Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

[Refractory anasarca].

J J Gonvers¹, F Delacrétaz

¹Département de médecine interne, Centre hospitalier universitaire vaudois, Lausanne.

Schweizerische Medizinische Wochenschrift

|October 21, 1989

Summary

This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

[Hepatology].

Revue medicale suisse·2006

Same author

[When and how to treat hepatitis B and C?].

Revue medicale suisse·2005

Same author

[Auto-immune liver diseases and their treatment].

Revue medicale suisse·2005

Same author

[Complications of liver cirrhosis: oesophageal varices, ascites and hepato-cellular carcinoma].

Revue medicale suisse·2005

Same author

Do explicit appropriateness criteria enhance the diagnostic yield of colonoscopy?

Endoscopy·2002

Same author

Pitfalls in TRAP assay in routine detection of malignancy in effusions.

Diagnostic cytopathology·2001

Same journal

Respiratory function test in the case of temporary phrenic nerve contusion, associated with pneumoperitoneum; About the diagnostic value of laparoscopy.

Schweizerische medizinische Wochenschrift·2010

Same journal

Treatment of pulmonary tuberculosis and pleurisy by means of temporary paralysis of the diaphragm, supported by the pneumoperitoneum.

Schweizerische medizinische Wochenschrift·2010

Same journal

Boeck's disease as a tuberculous syndrome.

Schweizerische medizinische Wochenschrift·2010

Same journal

Enteral primary tubercular complexes

Schweizerische medizinische Wochenschrift·2010

Same journal

Tuberculous stenoses of the large bronchi.

Schweizerische medizinische Wochenschrift·2010

Same journal

About the enzyme action.

Schweizerische medizinische Wochenschrift·2010

See all related articles

A retroperitoneal lymphoma caused chylous ascites and pleural effusion in a patient with a tibial fracture. Despite chemotherapy, the patient developed complications including peritonitis and septic shock, leading to death. Autopsy confirmed widespread lymphoma.

Area of Science:

Oncology
Gastroenterology
Cardiology

Background:

A 68-year-old male with a tibial fracture presented with leg edema, ascites, and pleural effusions.
Initial treatment included digitalis and diuretics, but symptoms worsened.

Observation:

The patient developed epigastric pain, vomiting, and ECG changes suggestive of myocardial infarction.
Imaging revealed a retroperitoneal mass causing vena cava compression and bilateral hydronephrosis.
Analysis of pleural and abdominal fluid showed milky liquid consistent with chylous effusion and ascites.

Findings:

Histopathology confirmed a low-grade Non-Hodgkin B-cell malignant lymphoma.
Chemotherapy with prednisone, vincristine, and cyclophosphamide was initiated.
The patient experienced complications including peritonitis, phlegmonous cholecystitis, and a perforated colon.

Related Experiment Videos

Implications:

This case highlights a rare presentation of retroperitoneal lymphoma leading to chylous ascites and cardiac events.
The study underscores the importance of considering malignancy in cases of unexplained chylous effusions.
Despite aggressive treatment, the patient's advanced disease and complications resulted in a fatal outcome.