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Chylous Ascites due to Mantle Cell Lymphoma
Ricardo Fernandes1, Márcia Leite1, Joana Cochicho1
1Internal Medicine Department, Centro Hospitalar de Vila Nova de Gaia-Espinho, Portugal.
European Journal of Case Reports in Internal Medicine
|February 14, 2019
Summary
Chylous ascites, a rare condition of abdominal lymph accumulation, is increasingly seen due to cancer survival and surgery. This case highlights mantle cell lymphoma as a cause in an elderly patient.
Area of Science:
- Gastroenterology and Oncology
- Internal Medicine
Background:
- Chylous ascites is the accumulation of lymphatic fluid in the abdominal cavity, characterized by milky ascites with high triglyceride levels (>200 mg/dl).
- Its incidence is rising due to increased cancer patient survival and more aggressive surgical interventions.
- While often linked to trauma, other causes include thoracic duct obstruction from retroperitoneal fibrosis, pancreatitis, or neoplasms.
Purpose of the Study:
- To present a case of chylous ascites in an elderly male.
- To identify mantle cell lymphoma as the underlying cause of chylous ascites and associated symptoms.
- To discuss the management and prognosis of chylous ascites based on the predisposing condition.
Main Methods:
- Case report of an 87-year-old male patient.
- Clinical presentation included general edema, chylous ascites, and weight loss.
- Diagnosis of mantle cell lymphoma was established as the etiology.
Main Results:
- The patient presented with symptoms attributed to chylous ascites.
- Mantle cell lymphoma was identified as the underlying cause.
- The condition was progressive and required management.
Conclusions:
- Chylous ascites, though rare, can be associated with various conditions including neoplasms like mantle cell lymphoma.
- Management strategies range from dietary modifications to surgical interventions.
- Prognosis is critically dependent on the underlying cause.
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