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Updated: Nov 8, 2025

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Published on: February 28, 2025
Bilateral Chylothorax and Chylous Ascites: A Rare Presentation of an Uncommon Disorder
Akhilesh Mahajan1,2, Pratyaksha Sankhyan3,2, Boonphiphop Boonpheng4,2
1Pulmonary Critical Care, Lenox Hill Hospital, New York, USA.
Abstract:
We describe the case of a 62-year-old female who presented with gradually progressing abdominal distension and dyspnea. Computed tomography (CT) chest and abdomen revealed large bilateral pleural effusions with large ascites, a mid-abdominal mass, and peritoneal carcinomatosis. Pleural and peritoneal tap revealed chylous fluid, and the biopsy findings from abdominal mass were consistent with follicular lymphoma. We then discuss a review of the literature and diagnoses for bilateral chylothorax and chylous ascites.
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