Olaru Adina, Venkatachalapathy Suresh V, James Martin, Martinez-Calle Nicolas
Nottingham University Hospitals NHS Trust, Queen's Medical Centre, Nottingham, UK.
Nottingham Digestive Diseases Centre (NDDC) and National Institute for Health Research (NIHR), Nottingham Biomedical Research Centre (BRC), Nottingham University and Nottingham University Hospitals NHS Trust, Queen's Medical Centre, Nottingham, UK.
Oxf Med Case Reports. 2023 Feb 27;2023(2):omad009. doi: 10.1093/omcr/omad009. eCollection 2023 Feb.
Chylous ascites is a rare condition found in 1 in 20 000 patients admitted to hospital with abdominal distention. It is caused by a limited number of pathologies but can, in rare situations, be idiopathic. Its management is difficult and usually involves correcting the primary pathology, making idiopathic chylous ascites particularly difficult to manage. We present a case of idiopathic chylous ascites extensively investigated over a period of several years. An incidental finding of B cell lymphoma was initially suspected to have been the primary cause of the ascites; however, after successful treatment of this condition, the patient's ascites did not resolve. Diagnostic difficulties and management are discussed and an overview of the diagnostic process is outlined through this case.
乳糜性腹水是一种罕见病症，在因腹胀入院的患者中，每20000例中有1例。它由少数几种病变引起，但在罕见情况下可能为特发性。其治疗困难，通常需要纠正原发性病变，这使得特发性乳糜性腹水尤其难以治疗。我们报告一例特发性乳糜性腹水病例，该病例在数年时间里接受了广泛检查。最初怀疑偶然发现的B细胞淋巴瘤是腹水的主要病因；然而，在成功治疗该病症后，患者的腹水并未消退。本文讨论了诊断困难和治疗方法，并通过该病例概述了诊断过程。
