Ul Ain Qurat, Bashir Yasir, Johnston Sean
Tullamore Regional Hospital, Tullamore, co. Offaly, Ireland.
Int J Surg Case Rep. 2016;29:189-192. doi: 10.1016/j.ijscr.2016.10.059. Epub 2016 Oct 27.
• A rare case of idiopathic chylous ascites in a young female is reported. The management and outcome with long term follow up were discussed. • The variable nature of presentation of chylous ascites necessitates high index of suspicion. Diagnosis predominately requires abdominal paracentesis and triglyceride levels in the ascetic fluid obtained. • Management of idiopathic chylous ascites is mostly conservative, once the diagnosis is established. The treatment may include low fat diet and occasional somatostatin use. • Further research is mandatory as there is a significant rise in reported cases with no standardized guidelines for management.
• 报告了一例年轻女性特发性乳糜性腹水的罕见病例。讨论了其管理及长期随访结果。
• 乳糜性腹水表现的多变性需要高度怀疑。诊断主要依靠腹腔穿刺及所获腹水的甘油三酯水平。
• 一旦确诊，特发性乳糜性腹水的管理大多是保守的。治疗可能包括低脂饮食和偶尔使用生长抑素。
• 由于报告病例显著增加且尚无标准化管理指南，进一步研究势在必行。
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