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Chylous Ascites Due to Hyperthyroidism and Heart Failure.
Masaki Uchihara1,2, Jun Ehara1,3, Keiichi Iwanami1,4
1Department of Internal Medicine, Tokyo Bay Urayasu Ichikawa Medical Center, Japan.
Internal Medicine (Tokyo, Japan)
|December 13, 2021
Summary
This case study highlights a rare instance of chylous ascites (CA) in a patient with hyperthyroidism. Prompt treatment of hyperthyroidism and heart failure led to the resolution of CA, suggesting these conditions are reversible causes.
Area of Science:
- Endocrinology
- Gastroenterology
- Cardiology
Background:
- Chylous ascites (CA) is characterized by triglyceride-rich fluid accumulation in the peritoneum.
- CA associated with hyperthyroidism is exceptionally rare, with only two prior reported cases.
- This study presents a unique case of CA in a patient with co-occurring hyperthyroidism and heart failure.
Purpose of the Study:
- To report a rare case of chylous ascites in a patient with hyperthyroidism.
- To investigate the potential link between hyperthyroidism, heart failure, and chylous ascites.
- To emphasize the importance of considering and treating underlying endocrine and cardiac conditions in CA management.
Main Methods:
- Case report of a 28-year-old woman presenting with abdominal swelling, dyspnea, and diarrhea.
- Diagnostic workup included laboratory investigations, echocardiography, and ultrasonography of the abdomen.
- Analysis of ascitic fluid for triglyceride content.
Main Results:
- The patient was diagnosed with hyperthyroidism and heart failure.
- Ascitic fluid analysis confirmed chylous ascites with elevated triglyceride levels.
- Treatment with anti-thyroid medication and diuretics resulted in symptom improvement and normalization of thyroid hormone levels.
Conclusions:
- Hyperthyroidism and associated heart failure can be reversible causes of chylous ascites.
- Early diagnosis and management of endocrine and cardiac dysfunction are crucial for resolving CA.
- This case expands the understanding of rare etiologies for chylous ascites.
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