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A 54-Year-Old Man With Anasarca, Dyspnea, and Recurrent Bilateral Pleural Effusions
Pradnya D Patil1, Yvette M Cua2, Carol Farver3
1Department of Hospital Medicine, Medicine Institute, Cleveland Clinic, Cleveland, OH.
Chest
|August 12, 2017
Summary
This case highlights a rare presentation of chylous ascites in a former smoker. Early diagnosis and management are crucial for improving outcomes in patients with this condition.
Area of Science:
- Cardiology
- Pulmonology
- Gastroenterology
Background:
- A 54-year-old male with a history of smoking presented with progressive dyspnea and anasarca.
- He experienced significant weight gain and worsening edema over six months.
Observation:
- Previous workup for cardiac, renal, and liver disease was negative.
- Chest radiograph showed bilateral pleural effusions that were milky when drained.
Findings:
- The patient's symptoms and effusion characteristics suggest chylous ascites.
- A history of smoking may be a contributing factor.
Implications:
- This case underscores the importance of considering rare causes of edema and effusions.
- Further investigation into the etiology of chylous ascites is warranted.
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