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Related Experiment Videos

Chylous ascites caused by constrictive pericarditis.

M P Savage1, S J Munoz, W M Herman

  • 1Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.

The American Journal of Gastroenterology
|October 1, 1987
PubMed
Summary

Constrictive pericarditis can cause chylous ascites, a rare condition usually linked to lymphatic obstruction. Surgical relief of pericarditis resolved the ascites, highlighting this curable cause.

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Area of Science:

  • Cardiology
  • Gastroenterology
  • Thoracic Surgery

Background:

  • Chylous ascites is typically caused by lymphatic obstruction, often due to malignancy.
  • Understanding alternative etiologies is crucial for effective management.

Observation:

  • A case of chylous ascites was observed in a patient without mechanical lymphatic obstruction.
  • The patient's condition was attributed to constrictive pericarditis.

Findings:

  • Constrictive pericarditis can lead to chylous ascites through increased lymph production and impaired drainage due to central venous hypertension.
  • Pericardiectomy successfully treated the patient's chylous ascites and edema.

Implications:

  • Constrictive pericarditis is a rare, yet treatable, cause of chylous ascites.

Related Experiment Videos

  • Consideration of constrictive pericarditis in unexplained chylous ascites cases is warranted.
  • Surgical intervention can offer a curative solution for this condition.