Yeungnam Univ J Med.  2017 Dec;34(2):265-269. 10.12701/yujm.2017.34.2.265.

Simultaneous chylothorax and chylous ascites

• Jang TS
• Jeong IB
• Cho DY
• Kang SJ
• Kwon OJ

• KMID: 2400365
• DOI: http://doi.org/10.12701/yujm.2017.34.2.265

Abstract

Chylothorax or chylous ascites are rare manifestations of liver cirrhosis. We report a rare case of simultaneous chylothorax and chylous ascites in a patient with hepatitis B virus-related liver cirrhosis. A 76-year-old woman was referred to our hospital with a pleural effusion on her right side. She had no history of recent medical procedures, trauma or tumor. There was no evidence of mass or thoracic duct obstruction in a computed tomography scan. Pleural fluid and ascites were confirmed as chylothorax and chylous ascites by chemistry analysis. Despite thorough conservative care, there was no improvement. Pleurodesis was planned, but hepatic encephalopathy developed suddenly and she did not recover.

Keyword

Chylothorax; Chylous ascites; Liver cirrhosis

MeSH Terms

Aged
Ascites
Chemistry
Chylothorax*
Chylous Ascites*
Female
Hepatic Encephalopathy
Hepatitis B
Humans
Liver Cirrhosis
Pleural Effusion
Pleurodesis
Thoracic Duct