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Chylous Ascites Developing Into Bilateral Chylothorax in High-Grade Lymphoma: A Case Report
Jonathan T Avon1, Allison J Gerrard1, Brijesh B Patel1
1Pulmonary and Critical Care Medicine, Carilion Clinic, Christiansburg, USA.
Cureus
|May 14, 2023
Summary
Rare cases of bilateral chylothoraces with chylous ascites secondary to Non-Hodgkin Lymphoma were observed. This study highlights the progression from ascites to chylothorax in lymphoma patients.
Area of Science:
- Medicine
- Oncology
- Pulmonology
Background:
- Chylothorax and chylous ascites involve lymphatic fluid accumulation in the pleural or peritoneal spaces.
- These conditions are categorized as traumatic or non-traumatic, with lymphomas being a common non-traumatic etiology.
- Lymphomas can obstruct lymphatic pathways, leading to the leakage of chyle.
Observation:
- A rare case of bilateral chylothoraces with chylous ascites in a 55-year-old male with Non-Hodgkin Lymphoma is presented.
- The patient initially presented with dyspnea and hypoxia due to bilateral pleural effusions.
- Diagnostic and therapeutic thoracentesis confirmed lymphatic fluid in the pleural space.
Findings:
- The case demonstrates a rare presentation of bilateral chylothoraces secondary to Non-Hodgkin Lymphoma.
- A temporal relationship was observed, where significant chylous ascites preceded the development of bilateral chylothoraces.
- This suggests a potential progression pathway for lymphatic fluid accumulation in advanced lymphoma.
Implications:
- This case underscores the importance of recognizing rare presentations of lymphoma complications.
- It highlights the need for prompt diagnosis and management of chylothorax and chylous ascites in lymphoma patients.
- Further research into the mechanisms and management of these rare presentations is warranted.
