Ghimire Subash, Shah Harshil, Paudel Sanjay, Yang Tsu Jung, Khan Hafiz M
Internal Medicine, Guthrie Clinic, Robert Packer Hospital, Sayre, USA.
Internal Medicine, Guthrie Clinic, Sayre, USA.
Cureus. 2020 Jun 17;12(6):e8669. doi: 10.7759/cureus.8669.
Chylous ascites (CA) is uncommon in cirrhosis. It often presents as diuretic-resistant ascites and is associated with increased mortality. Diagnosis is done by the detection of triglyceride-rich ascitic fluid. There are no published guidelines on the management of CA. We describe the case of a middle-aged female who presented with CA secondary to cirrhosis, and the challenges associated with her treatment and her management with the use of intravenous octreotide.
乳糜性腹水（CA）在肝硬化患者中并不常见。它常表现为利尿剂抵抗性腹水，且与死亡率增加相关。通过检测富含甘油三酯的腹水来进行诊断。目前尚无关于CA治疗的已发表指南。我们描述了一例中年女性因肝硬化继发CA的病例，以及在其治疗过程中使用静脉注射奥曲肽所面临的挑战。
