Wu Ann, Parikh Roneil, Gluch Laurence
Breast and Endocrine Surgery, Concord Repatriation General Hospital, Sydney, AUS.
Cureus. 2025 May 6;17(5):e83562. doi: 10.7759/cureus.83562. eCollection 2025 May.
Chylous ascites (CA) is the pathological accumulation of lymphatic fluid in the peritoneal cavity. The ascitic fluid has a high concentration of triglycerides and chylomicrons, giving it a milky appearance. Owing to its infrequent diagnosis, there is limited literature describing the workup and treatment of idiopathic chylous ascites (ICA). This report describes the case of a 39-year-old woman who presented with undifferentiated abdominal pain, with the investigations leading to a diagnosis of ICA and interventions which led to complete resolution of symptoms over a follow-up period of eight months. We propose a systematic method to exclude alternative causes of chyle leak, thus aiding in the diagnosis of ICA.
乳糜性腹水（CA）是腹腔内淋巴液的病理性积聚。腹水中甘油三酯和乳糜微粒浓度很高，使其呈现乳状外观。由于其诊断不常见，描述特发性乳糜性腹水（ICA）检查和治疗的文献有限。本报告描述了一名39岁女性患者，她出现了未分化的腹痛，通过检查诊断为ICA，并采取了干预措施，在八个月的随访期内症状完全缓解。我们提出了一种系统的方法来排除乳糜漏的其他原因，从而有助于ICA的诊断。
